The nurse is caring for a child with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the child?
Rash and hives
Rapid weight loss
Excessive thirst and frequent urination
Abdominal pain and diarrhea
The Correct Answer is D
Explanation: The correct answer is d. Abdominal pain and diarrhea. Abdominal pain and diarrhea are common clinical manifestations of immunodeficiency disorders. The weakened immune system makes the child more susceptible to gastrointestinal infections, leading to these symptoms.
Incorrect choices:
a. Rash and hives are more common clinical manifestations of allergic reactions or immune hypersensitivity disorders, not immunodeficiency disorders.
b. Rapid weight loss may be seen in conditions like malnutrition or metabolic disorders but is not a typical clinical manifestation of immunodeficiency disorders.
c. Excessive thirst and frequent urination are clinical manifestations of diabetes or other endocrine disorders, not immunodeficiency disorders.
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Correct Answer is D
Explanation
Explanation: The correct answer is d. Educating the client on proper hand hygiene. Educating the client on proper hand hygiene is essential to reduce the risk of infections in individuals with immunodeficiency disorders. Frequent handwashing is a simple yet effective way to prevent the transmission of infectious agents.
Incorrect choices:
a. Administering live vaccines is contraindicated for clients with immunodeficiency disorders, as live vaccines contain weakened pathogens that can cause serious infections in this population.
b. Encouraging the client to perform strenuous physical activities is not appropriate for someone with immunodeficiency, as strenuous activities can put additional strain on the immune system and increase the risk of infections.
c. Limiting the client's intake of fluids is not a necessary intervention for immunodeficiency disorders. Adequate fluid intake is generally important for overall health, but it is not directly related to managing immunodeficiency disorders.
Correct Answer is C
Explanation
Explanation: The correct answer is c. "I should avoid close contact with pets to reduce the risk of infections." While it is essential to practice good hygiene when handling pets, avoiding close contact with pets is not typically necessary for clients with immunodeficiency disorders unless they have a specific allergy or pet-related infection.
Incorrect choices:
a. Avoiding crowded places and large gatherings is important for clients with immunodeficiency disorders, as it helps reduce the risk of exposure to infections.
b. Cleaning and disinfecting frequently touched surfaces in the home regularly can help prevent the transmission of infections in clients with immunodeficiency disorders.
d. Wearing a mask when visiting the hospital or healthcare settings is a standard infection prevention measure for clients with immunodeficiency disorders to reduce the risk of acquiring infections from others.
VI. Nursing Considerations:
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