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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Related Questions
Correct Answer is B
Explanation
Explanation: The correct answer is b. Common variable immunodeficiency (CVID). CVID is an example of a primary immunodeficiency disorder, which is typically caused by genetic mutations affecting the immune system's development and function.
Incorrect choices:
a. Human immunodeficiency virus (HIV) infection is an example of a secondary immunodeficiency disorder, which occurs due to an external factor, such as a viral infection, damaging the immune system.
c. Rheumatoid arthritis is an autoimmune disorder that affects the joints and is not classified as an immunodeficiency disorder.
d. Diabetes mellitus is a metabolic disorder involving insulin production and does not directly affect the immune system's function.
Correct Answer is C
Explanation
Explanation: The correct answer is c. "I need to limit my fluid intake to prevent fluid overload." There is no specific recommendation to limit fluid intake for clients with immunodeficiency disorders unless they have a medical condition that requires fluid restriction. Adequate fluid intake is essential for overall health, including immune function.
Incorrect choices:
a. Eating a balanced diet with plenty of fruits and vegetables is important for overall well-being, including supporting the immune system in clients with immunodeficiency disorders.
b. Avoiding raw or undercooked meat and eggs is recommended to prevent foodborne infections in all individuals, including those with immunodeficiency disorders.
d. Avoiding unpasteurized dairy products is important to reduce the risk of infections caused by foodborne pathogens in all individuals, including those with immunodeficiency disorders.
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