A nurse is caring for a client with immunodeficiency disorder. Which of the following nursing considerations is appropriate for this client?
Encourage the client to participate in crowded social gatherings.
Administer live vaccines to boost the immune response.
Implement strict infection control measures.
Encourage the client to consume a diet high in fresh fruits and vegetables.
The Correct Answer is C
Explanation: The correct answer is c. Implement strict infection control measures. Clients with immunodeficiency disorders have a weakened immune system and are more susceptible to infections. Implementing strict infection control measures, such as hand hygiene, using personal protective equipment, and limiting exposure to potential sources of infection, can help prevent the spread of pathogens and protect the client from infections.
Incorrect choices:
a. Encouraging the client to participate in crowded social gatherings can put the client at risk of exposure to infectious agents, which is not appropriate for someone with immunodeficiency.
b. Live vaccines contain weakened pathogens and are contraindicated for clients with immunodeficiency disorders, as they can cause serious infections in this population.
d. While a diet high in fresh fruits and vegetables is generally beneficial for overall health, it does not specifically address the increased risk of infections in clients with immunodeficiency disorders. Strict infection control measures are more relevant to preventing infections in these clients.
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Correct Answer is D
Explanation
Explanation: The correct answer is d. Immunodeficiency disorders can be caused by medications or medical treatments. Immunodeficiency disorders are conditions in which the immune system is weakened or dysfunctional, leading to an increased susceptibility to infections. They can be primary (genetic) or secondary (acquired). Secondary immunodeficiency disorders can be caused by various factors, including medications (e.g., immunosuppressive drugs used after organ transplants), medical treatments (e.g., chemotherapy for cancer), and certain diseases (e.g., HIV/AIDS).
Incorrect choices:
a. Immunodeficiency disorders are characterized by a weakened immune system, not an overactive one. Overactive immune responses are seen in autoimmune disorders.
b. Immunodeficiency disorders can be both primary (genetic) and secondary (acquired) in nature. While some immunodeficiencies are genetic, others can be acquired later in life due to various factors.
c. Immunodeficiency disorders result in a decreased ability to fight infections, not an increased one. Individuals with immunodeficiencies are more susceptible to infections and may experience recurrent or severe infections.
Correct Answer is A
Explanation
Explanation: The correct answer is a. "Practice proper hand hygiene and infection prevention measures." Proper hand hygiene, including regular handwashing with soap and water, is essential for clients with immunodeficiency disorders to reduce the risk of acquiring infections. It is one of the most effective ways to prevent the transmission of pathogens.
Incorrect choices:
b. Engaging in intense physical activities is not recommended for clients with immunodeficiency disorders, as it can put additional stress on the immune system. Moderate, regular exercise is beneficial for overall health, but extreme physical activities may be harmful to the immune system.
c. There is no need for clients with immunodeficiency disorders to limit their fluid intake unless they have a medical condition that requires fluid restriction. Adequate fluid intake is essential for overall health and immune function.
d. Consuming a diet rich in raw and undercooked meat is not recommended for clients with immunodeficiency disorders, as it can increase the risk of foodborne infections. It is important for these clients to follow food safety guidelines and avoid consuming raw or undercooked meat.
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