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 D

Explanation

Explanation: The correct answer is d. Immunodeficiency disorders can be caused by medications or medical treatments. Immunodeficiency disorders are conditions in which the immune system is weakened or dysfunctional, leading to an increased susceptibility to infections. They can be primary (genetic) or secondary (acquired). Secondary immunodeficiency disorders can be caused by various factors, including medications (e.g., immunosuppressive drugs used after organ transplants), medical treatments (e.g., chemotherapy for cancer), and certain diseases (e.g., HIV/AIDS).

Incorrect choices:

a. Immunodeficiency disorders are characterized by a weakened immune system, not an overactive one. Overactive immune responses are seen in autoimmune disorders.

b. Immunodeficiency disorders can be both primary (genetic) and secondary (acquired) in nature. While some immunodeficiencies are genetic, others can be acquired later in life due to various factors.

c. Immunodeficiency disorders result in a decreased ability to fight infections, not an increased one. Individuals with immunodeficiencies are more susceptible to infections and may experience recurrent or severe infections.

A. Wear a mask when entering the client's room. B. Use a sterile dressing change technique for all wound care. C. Encourage the client to wear a mask at all times. D. Place the client on strict isolation precautions.

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.

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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 statements is correct regarding immunodeficiency disorders?

Correct Answer is D

Explanation

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 is a primary immunodeficiency disorder?

Which of the following clinical manifestations is often observed in individuals with severe combined immunodeficiency (SCID)?

Which type of immunodeficiency disorder is inherited in an X-linked recessive pattern and primarily affects males, leading to the absence of mature B cells and immunoglobulins?

Which of the following clinical manifestations is a common symptom of primary immunodeficiency disorders?

The nurse is educating a client with an immunodeficiency disorder about infection prevention. Which statement by the client indicates a need for further teaching?

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

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 laboratory test is essential for monitoring the client's immune status and treatment response?