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. X-linked agammaglobulinemia. This disorder primarily affects males and is caused by mutations in the BTK gene, resulting in a lack of mature B cells and immunoglobulins.
Incorrect choices:
a. Selective IgA deficiency is a primary immunodeficiency disorder characterized by a deficiency of immunoglobulin A (IgA), and it can affect both males and females.
b. DiGeorge syndrome is caused by a chromosome 22 deletion and is not inherited in an X-linked recessive pattern.
d. Severe combined immunodeficiency (SCID) is a group of disorders that can be inherited in various patterns, including autosomal recessive, autosomal dominant, or X-linked recessive. SCID affects both males and females and results in a severe deficiency of T cells, B cells, and natural killer (NK) cells.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Limit visitors to family members only. Clients with immunodeficiency disorders are at increased risk of infections, and limiting visitors to family members only can help reduce the risk of exposure to infectious agents. It is essential to create a controlled and safe environment for these clients.
Incorrect choices:
a. Encouraging the client to interact with other clients in the unit can increase the risk of exposure to infections and is not appropriate for someone with immunodeficiency.
b. Live vaccines contain weakened pathogens and are contraindicated for clients with immunodeficiency disorders, as they can cause serious infections in this population.
d. Providing the client with a private room with negative pressure is not necessary for every client with immunodeficiency disorder. Negative pressure rooms are used for clients with specific airborne infectious diseases, and the decision to use such rooms is based on the specific circumstances of each client.
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