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

Explanation: The correct answer is c. Chronic diarrhea. Primary immunodeficiency disorders can affect the gastrointestinal system, leading to chronic diarrhea due to frequent infections and inflammation.

Incorrect choices:

a. Unexplained weight loss is not a specific symptom of primary immunodeficiency disorders. It may be seen in various other medical conditions, such as cancer or metabolic disorders.

b. Recurrent skin rashes are not a characteristic symptom of primary immunodeficiency disorders. Skin rashes may be caused by allergic reactions or dermatological conditions.

d. Difficulty falling asleep is not typically associated with primary immunodeficiency disorders. It may be related to sleep disorders or anxiety.

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.