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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Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Serum immunoglobulin levels. A primary immunodeficiency disorder often results in abnormal levels of immunoglobulins (antibodies) in the blood. Measuring serum immunoglobulin levels can help identify potential deficiencies and guide the diagnosis of primary immunodeficiency disorders.
Incorrect choices:
a. Enzyme-linked immunosorbent assay (ELISA) is a test used to detect specific antibodies or antigens in the blood, but it is not specific to diagnosing primary immunodeficiency disorders.
b. A chest X-ray is not a specific test for diagnosing primary immunodeficiency disorders. It is typically used to assess the condition of the lungs and chest organs.
d. A complete blood count (CBC) is a general blood test that may reveal abnormalities in white blood cell count but does not specifically assess immunoglobulin levels.
Correct Answer is D
Explanation
Explanation: The correct answer is d. Teach the client about the importance of hand hygiene and infection control measures. For clients with immunodeficiency disorders, preventing infections is of utmost importance. Hand hygiene and infection control measures, such as proper handwashing techniques and avoiding contact with sick individuals, can help reduce the risk of acquiring infections.
Incorrect choices:
a. While consuming a diet rich in probiotics may be beneficial for gut health, there is no specific evidence to suggest that it will prevent infections in clients with immunodeficiency disorders.
b. Engaging in regular exercise may have various health benefits, but it may not necessarily boost the immune system in clients with immunodeficiency disorders. In fact, excessive exercise can even increase the risk of infections in these individuals.
c. Live vaccines are contraindicated for clients with immunodeficiency disorders, as they can cause severe infections. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.
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