The nurse is caring for a client with immunodeficiency disorder. Which nursing intervention should be included in the care plan?
Encourage the client to engage in vigorous physical activities to strengthen the immune system.
Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting.
Administer live vaccines to boost the client's immune response.
Encourage the client to eat a diet high in fresh fruits and vegetables to improve immune function.
The Correct Answer is B
Explanation: The correct answer is b. Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting. Clients with immunodeficiency disorders are at a higher risk of infections due to their weakened immune system. Restricting exposure to potential sources of infection, such as visitors and other sick clients, can help minimize the risk of acquiring infections.
Incorrect choices:
a. Engaging in vigorous physical activities may not be appropriate for clients with immunodeficiency disorders, as it can lead to an increased risk of infections and may not strengthen the immune system in these individuals.
c. Live vaccines are contraindicated for clients with immunodeficiency disorders, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.
d. While a healthy diet is essential for overall well-being, there is no specific evidence to suggest that a diet high in fresh fruits and vegetables will improve immune function in clients with immunodeficiency disorders. Dietary considerations for these clients may include avoiding certain high-risk foods, but it should be discussed with the healthcare provider based on the specific immunodeficiency disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Primary immunodeficiency disorders are typically present at birth or during early childhood and are caused by genetic defects that affect the function of the immune system. They are not acquired later in life due to environmental factors.
Incorrect choices:
a. Primary immunodeficiency disorders are not acquired later in life; they are usually genetic and present from birth.
b. Primary immunodeficiency disorders are characterized by a weakened or deficient immune response, not an overactive immune response.
d. Primary immunodeficiency disorders are often not easily treatable with antibiotics and antiviral medications because they result from genetic defects in the immune system.
Correct Answer is D
Explanation
Explanation: The correct answer is d. Immunoglobulin replacement therapy is a common treatment option for patients with primary immunodeficiency disorders. It involves infusing patients with immunoglobulins (antibodies) to help boost their immune response and protect against infections.
Incorrect choices:
a. Allergy shots are used to desensitize the immune system to specific allergens in individuals with allergies, not to treat primary immunodeficiency disorders.
b. Immunosuppressive medications are used to suppress the immune response in conditions such as autoimmune diseases or after organ transplantation, but they are not typically used to treat primary immunodeficiency disorders.
c. Blood transfusions may be used to treat anemia or certain blood disorders, but they are not a specific treatment for primary immunodeficiency disorders.
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