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.
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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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 C
Explanation
Explanation: The correct answer is c. Frequent and severe infections. Immunodeficiency disorders impair the body's ability to fight infections, leading to recurrent and severe infections. This is a hallmark sign of immunodeficiency.
Incorrect choices:
a. Hyperactivity and restlessness are not typical clinical manifestations of immunodeficiency disorders. These symptoms are more commonly associated with conditions like attention deficit hyperactivity disorder (ADHD).
b. Increased appetite and weight gain are not specific to immunodeficiency disorders. They may be seen in conditions like hypothyroidism or certain eating disorders.
d. Hypertension and tachycardia are not characteristic clinical manifestations of immunodeficiency disorders. These symptoms may be associated with cardiovascular issues.
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