The nurse is caring for a child with severe combined immunodeficiency (SCID). Which precaution should the nurse take to protect the child from infections?

Place the child on contact precautions.

Encourage the child to play with other children to promote socialization.

Administer live attenuated vaccines to boost the child's immune system.

Maintain strict hand hygiene and utilize protective equipment when providing care.

Answer and Explanation

The Correct Answer is D

Explanation: The correct answer is d. Maintain strict hand hygiene and utilize protective equipment when providing care. Children with severe combined immunodeficiency (SCID) have a severely compromised immune system, making them highly susceptible to infections. Strict hand hygiene and the use of protective equipment, such as gloves and masks, are essential in preventing the transmission of infections to the child.

Incorrect choices:

a. Placing the child on contact precautions may not be sufficient to protect them from infections due to their high susceptibility. Additional precautions, such as strict hand hygiene and protective equipment, should be implemented.

b. Encouraging the child to play with other children may increase the risk of exposure to infections. Children with SCID should be protected from contact with potential sources of infection.

c. Live attenuated vaccines are contraindicated for children with SCID, as they can cause severe infections. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

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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.

A. Encourage the client to receive live vaccines for added protection. B. Prescribe broad-spectrum antibiotics prophylactically. C. Administer intramuscular immunoglobulins (IG) as ordered. D. Initiate high-dose corticosteroid therapy to reduce inflammation.

Correct Answer is C

Explanation

Explanation: The correct answer is c. Administer intramuscular immunoglobulins (IG) as ordered. For clients with immunodeficiency disorders, intramuscular immunoglobulins can be prescribed to provide passive immunity and help prevent infections. Immunoglobulins contain antibodies that the client's immune system may be lacking, offering protection against various pathogens.

Incorrect choices:

a. Encouraging the client to receive live vaccines is not appropriate for clients with immunodeficiency disorders. Live vaccines contain live, attenuated viruses or bacteria, which can cause severe infections in individuals with compromised immune systems.

b. Prescribing broad-spectrum antibiotics prophylactically may be used in some cases, but it is not the first-line treatment for immunodeficiency disorders. It is essential to identify the specific pathogens causing infections before initiating antibiotic therapy to avoid antimicrobial resistance.

d. Initiating high-dose corticosteroid therapy is not appropriate for the management of immunodeficiency disorders. Corticosteroids can suppress the immune system further and increase the risk of infections in these clients.

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The nurse is caring for a child with severe combined immunodeficiency (SCID). Which precaution should the nurse take to protect the child from infections?

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Naxlex Comprehensive Predictor Exams

Which of the following is a primary immunodeficiency disorder?

Correct Answer is B

Explanation

The nurse is caring for a client with an immunodeficiency disorder. Which intervention is appropriate for the management and treatment of this condition?

Correct Answer is C

Explanation

Which of the following clinical manifestations is commonly seen in individuals with immunodeficiency disorders?

The nurse is caring for a child with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the child?

Which of the following immunodeficiency disorders is characterized by a deficiency of immunoglobulin A (Ig

The nurse is caring for a client suspected of having an immunodeficiency disorder. Which diagnostic test should the nurse anticipate being ordered to confirm the diagnosis?

Which type of immunodeficiency disorder is characterized by a deficiency or absence of B cells and the inability to produce antibodies?

Which type of immunodeficiency disorder is inherited in an X-linked recessive pattern and primarily affects males, leading to the absence of mature B cells and immunoglobulins?

A nurse is caring for a client with immunodeficiency disorder. Which of the following interventions is important to include in the client's plan of care?

Which of the following statements accurately describes immunodeficiency disorders?