The nurse is caring for a client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?
Hyperactivity and restlessness
Persistent fever and night sweats
Weight gain and increased appetite
Elevated blood pressure
The Correct Answer is B
Explanation: The correct answer is b. Persistent fever and night sweats. Fever and night sweats are common clinical manifestations of immunodeficiency disorders. The immune system's inability to fight off infections can lead to recurrent fevers and night sweats as the body tries to combat pathogens.
Incorrect choices:
a. Hyperactivity and restlessness are not typical clinical manifestations of immunodeficiency disorders. These symptoms are more commonly associated with conditions affecting the central nervous system.
c. Weight gain and increased appetite are not typical clinical manifestations of immunodeficiency disorders. They may be seen in conditions like hypothyroidism or hormonal imbalances.
d. Elevated blood pressure is not a common clinical manifestation of immunodeficiency disorders. It may be seen in conditions like hypertension or cardiovascular disorders.
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Related Questions
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.
Correct Answer is A
Explanation
Explanation: The correct answer is a. Complete blood count (CBC) with differential. A CBC with differential is essential for monitoring the client's immune status and treatment response. It provides information about the client's white blood cell count, including different types of white blood cells, such as lymphocytes, which play a crucial role in the immune response.
Incorrect choices:
b. Blood glucose level is not specifically related to monitoring the immune status or treatment response in clients with immunodeficiency disorders.
c. Liver function tests (LFTs) are important for monitoring liver health but are not directly related to the immune status or treatment response in clients with immunodeficiency disorders.
d. An electrolyte panel is used to assess the balance of electrolytes in the body and is not specifically related to monitoring the immune status or treatment response in clients with immunodeficiency disorders.
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