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 A

Explanation

Explanation: The correct answer is a. Wear a mask when entering the client's room. Wearing a mask when entering the client's room is a standard precaution that can help prevent the transmission of infectious agents, especially for clients with immunodeficiency disorders who are at a higher risk of infections.

Incorrect choices:

b. Using a sterile dressing change technique for all wound care may not be necessary for all clients with immunodeficiency disorders. It is essential to assess the client's specific condition and wound characteristics to determine the appropriate dressing change technique.

c. Encouraging the client to wear a mask at all times may not be feasible or necessary, as masks are typically used to prevent the transmission of infections from the client to others, not the other way around.

d. Placing the client on strict isolation precautions may not be necessary for all clients with immunodeficiency disorders. The appropriate level of isolation precautions should be determined based on the client's specific condition and risk factors for infections.

A. Hyperactivity and restlessness B. Increased appetite and weight gain C. Frequent and severe infections D. Hypertension and tachycardia

Correct Answer is C

Explanation

Explanation: The correct answer is c. Frequent and severe infections. Immunodeficiency disorders impair the body's ability to fight infections, leading to recurrent and severe infections. This is a hallmark sign of immunodeficiency.

Incorrect choices:

a. Hyperactivity and restlessness are not typical clinical manifestations of immunodeficiency disorders. These symptoms are more commonly associated with conditions like attention deficit hyperactivity disorder (ADHD).

b. Increased appetite and weight gain are not specific to immunodeficiency disorders. They may be seen in conditions like hypothyroidism or certain eating disorders.

d. Hypertension and tachycardia are not characteristic clinical manifestations of immunodeficiency disorders. These symptoms may be associated with cardiovascular issues.

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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

The nurse is caring for a client with an immunodeficiency disorder. Which precaution should the nurse take when caring for the client?

Correct Answer is A

Explanation

Which of the following clinical manifestations is commonly seen in individuals with immunodeficiency disorders?

Correct Answer is C

Explanation

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