A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?

I might experience harmless white patches in my mouth.

I will expect to have a mild, occasional fever.

I will avoid people who have just received a live vaccine.

I will limit the use of skin cream to once a week.

Answer and Explanation

The Correct Answer is C

Choice A reason:

The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.

Choice B reason:

Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.

Choice C reason:

Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.

Choice D reason:

Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.

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Correct Answer is A

Explanation

Choice A reason:

Swelling in the face, particularly around the eyes, is a common symptom of nephrotic syndrome. This condition causes the kidneys to leak large amounts of protein into the urine, leading to a decrease in blood protein levels. This imbalance causes fluid to accumulate in tissues, resulting in swelling (edema), especially in areas like the face and ankles.

Choice B reason:

Losing protein in the urine, known as proteinuria, is a hallmark of nephrotic syndrome. The condition damages the glomeruli in the kidneys, which are responsible for filtering waste and retaining essential proteins. When these filters are damaged, proteins like albumin leak into the urine, leading to significant protein loss.

Choice C reason:

Increasing sodium intake is not recommended for clients with nephrotic syndrome. In fact, a low-sodium diet is often advised to help manage symptoms such as swelling and high blood pressure. Excess sodium can exacerbate fluid retention and worsen edema.

Choice D reason:

A kidney biopsy is a common diagnostic procedure for nephrotic syndrome. It involves taking a small sample of kidney tissue to examine under a microscope. This helps determine the underlying cause of the syndrome and guides treatment decisions.

A. Dilated scalp veins B. Overriding suture lines C. Hypertension D. A backward sloping appearance of the forehead

Correct Answer is A

Explanation

Choice A reason: Dilated scalp veins are a common manifestation of hydrocephalus in newborns. The increased intracranial pressure caused by the accumulation of cerebrospinal fluid (CSF) can lead to prominent veins on the scalp. This is due to the increased pressure within the skull, which causes the veins to become more visible.

Choice B reason: Overriding suture lines are not typically associated with hydrocephalus. Overriding sutures are more commonly seen in conditions where there is a decrease in intracranial pressure, such as dehydration or after a significant loss of brain volume.

Choice C reason: Hypertension is not a direct manifestation of hydrocephalus in newborns. While increased intracranial pressure can affect various bodily functions, hypertension is not a primary symptom. Instead, symptoms like irritability, poor feeding, and vomiting are more common.

Choice D reason: A backward sloping appearance of the forehead is not a typical feature of hydrocephalus. Hydrocephalus usually causes an increase in head size and a bulging fontanelle, but it does not typically result in a backward sloping forehead.

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A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements can be expected?

Correct Answer is A

Explanation

A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?

Correct Answer is A

Explanation

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