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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Explanation: The correct answer is a. Wear a mask when entering the client's room. Wearing a mask when entering the client's room is a standard precaution that can help prevent the transmission of infectious agents, especially for clients with immunodeficiency disorders who are at a higher risk of infections.
Incorrect choices:
b. Using a sterile dressing change technique for all wound care may not be necessary for all clients with immunodeficiency disorders. It is essential to assess the client's specific condition and wound characteristics to determine the appropriate dressing change technique.
c. Encouraging the client to wear a mask at all times may not be feasible or necessary, as masks are typically used to prevent the transmission of infections from the client to others, not the other way around.
d. Placing the client on strict isolation precautions may not be necessary for all clients with immunodeficiency disorders. The appropriate level of isolation precautions should be determined based on the client's specific condition and risk factors for infections.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Ensuring the client receives antiretroviral therapy (ART) as prescribed. ART is the mainstay of treatment for HIV infection and is essential for suppressing viral replication, improving immune function, and preventing disease progression.
Incorrect choices:
a. Encouraging strenuous physical activities is not recommended for clients with HIV infection, as it may place additional stress on the immune system and exacerbate symptoms.
b. While a balanced diet is essential for overall health, there is no specific evidence that a diet high in raw fruits and vegetables alone can boost the immune system sufficiently to manage HIV infection.
d. Clients with HIV infection should follow infection control precautions to prevent the transmission of the virus to others. Interacting freely with other clients may put them and others at risk of infection transmission.
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