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. "I should avoid close contact with pets to reduce the risk of infections." While it is essential to practice good hygiene when handling pets, avoiding close contact with pets is not typically necessary for clients with immunodeficiency disorders unless they have a specific allergy or pet-related infection.
Incorrect choices:
a. Avoiding crowded places and large gatherings is important for clients with immunodeficiency disorders, as it helps reduce the risk of exposure to infections.
b. Cleaning and disinfecting frequently touched surfaces in the home regularly can help prevent the transmission of infections in clients with immunodeficiency disorders.
d. Wearing a mask when visiting the hospital or healthcare settings is a standard infection prevention measure for clients with immunodeficiency disorders to reduce the risk of acquiring infections from others.
VI. Nursing Considerations:
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Questions
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.
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