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 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.

A. Excessive inflammation at the site of infection B. Hyperactive immune response to allergens C. Frequent and severe infections D. Increased production of antibodies

Correct Answer is C

Explanation

Explanation: The correct answer is c. Frequent and severe infections. One of the hallmark features of immunodeficiency disorders is an increased susceptibility to infections. Individuals with immunodeficiencies may experience frequent and severe infections, including bacterial, viral, and fungal infections.

Incorrect choices:

a. Excessive inflammation at the site of infection is not a common clinical manifestation of immunodeficiency disorders. Immunodeficiencies are characterized by a weakened immune response, which may result in a reduced inflammatory response to infections.

b. Hyperactive immune response to allergens is seen in allergies and autoimmune disorders, not immunodeficiency disorders.

d. Immunodeficiency disorders are characterized by a lack or dysfunction of specific immune components, such as B cells or T cells, leading to a decreased production of antibodies, not increased.

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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

The nurse is caring for a client with an immunodeficiency disorder. Which nursing intervention is essential to prevent infections in this client?

Correct Answer is D

Explanation

Which of the following is a common clinical manifestation of immunodeficiency disorders?

Correct Answer is C

Explanation

The nurse is reviewing the diagnostic evaluation for a client with suspected immunodeficiency disorder. Which finding would be consistent with a potential diagnosis of severe combined immunodeficiency (SCID)?

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?

The nurse is providing education to a client with an immunodeficiency disorder. Which statement by the client indicates a need for further teaching?

The nurse is educating a client with an immunodeficiency disorder about infection prevention. Which statement by the client indicates a need for further teaching?

Which of the following is a primary immunodeficiency disorder?

Which of the following is a potential complication of primary immunodeficiency disorders?

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

Which type of immunodeficiency disorder is characterized by a defect in T cell function and is often associated with developmental delays, chronic infections, and autoimmune manifestations?