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 C

Explanation

Explanation: The correct answer is c. Chronic diarrhea. Primary immunodeficiency disorders can affect the gastrointestinal system, leading to chronic diarrhea due to frequent infections and inflammation.

Incorrect choices:

a. Unexplained weight loss is not a specific symptom of primary immunodeficiency disorders. It may be seen in various other medical conditions, such as cancer or metabolic disorders.

b. Recurrent skin rashes are not a characteristic symptom of primary immunodeficiency disorders. Skin rashes may be caused by allergic reactions or dermatological conditions.

d. Difficulty falling asleep is not typically associated with primary immunodeficiency disorders. It may be related to sleep disorders or anxiety.

A. Encourage the client to participate in crowded social gatherings. B. Administer live vaccines to boost the immune response. C. Implement strict infection control measures. D. Encourage the client to consume a diet high in fresh fruits and vegetables.

Correct Answer is C

Explanation

Explanation: The correct answer is c. Implement strict infection control measures. Clients with immunodeficiency disorders have a weakened immune system and are more susceptible to infections. Implementing strict infection control measures, such as hand hygiene, using personal protective equipment, and limiting exposure to potential sources of infection, can help prevent the spread of pathogens and protect the client from infections.

Incorrect choices:

a. Encouraging the client to participate in crowded social gatherings can put the client at risk of exposure to infectious agents, which 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. While a diet high in fresh fruits and vegetables is generally beneficial for overall health, it does not specifically address the increased risk of infections in clients with immunodeficiency disorders. Strict infection control measures are more relevant to preventing 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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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