The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which intervention should the nurse include in the client's plan of care?

Encouraging the client to participate in strenuous physical activities.

Providing a diet high in raw fruits and vegetables to boost the immune system.

Ensuring the client receives antiretroviral therapy (ART) as prescribed.

Allowing the client to interact freely with other clients in the healthcare facility.

Answer and Explanation

The Correct Answer is C

Explanation: The correct answer is c. Ensuring the client receives antiretroviral therapy (ART) as prescribed. ART is the mainstay of treatment for HIV infection and is essential for suppressing viral replication, improving immune function, and preventing disease progression.

Incorrect choices:

a. Encouraging strenuous physical activities is not recommended for clients with HIV infection, as it may place additional stress on the immune system and exacerbate symptoms.

b. While a balanced diet is essential for overall health, there is no specific evidence that a diet high in raw fruits and vegetables alone can boost the immune system sufficiently to manage HIV infection.

d. Clients with HIV infection should follow infection control precautions to prevent the transmission of the virus to others. Interacting freely with other clients may put them and others at risk of infection transmission.

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Correct Answer is C

Explanation

Explanation: The correct answer is c. Frequent and severe infections are common clinical manifestations of immunodeficiency disorders. The weakened immune system is unable to effectively defend against infections, leading to recurrent and severe infections.

Incorrect choices:

a. Severe allergic reactions are more characteristic of allergies or hypersensitivity disorders, not immunodeficiency disorders.

b. Chronic inflammation can be seen in various conditions, but it is not a specific clinical manifestation of immunodeficiency disorders.

d. Autoimmune diseases result from an overactive immune response attacking the body's own tissues, which is the opposite of immunodeficiency disorders where the immune system is weakened and unable to adequately protect against infections.

A. Encourage the client to interact with other clients in the unit. B. Ensure that the client receives all live vaccines available. C. Limit visitors to family members only. D. Provide the client with a private room with negative pressure.

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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The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which intervention should the nurse include in the client's plan of care?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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

Which type of immunodeficiency disorder is characterized by a deficiency or absence of B cells and the inability to produce antibodies?

The nurse is caring for a client suspected of having an immunodeficiency disorder. Which diagnostic test should the nurse anticipate being prescribed for the client?

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

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

Which of the following statements is correct regarding immunodeficiency disorders?

The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which intervention should the nurse include in the client's plan of care?

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