The nurse is caring for an elderly client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?
Impaired balance and coordination
Recurrent skin infections
Vision changes and blindness
Hearing loss
The Correct Answer is B
Explanation: The correct answer is b. Recurrent skin infections. Recurrent skin infections are common clinical manifestations of immunodeficiency disorders in the elderly. The weakened immune system makes the skin more susceptible to infections and delays wound healing.
Incorrect choices:
a. Impaired balance and coordination are more commonly associated with neurological disorders or conditions affecting the musculoskeletal system, not immunodeficiency disorders.
c. Vision changes and blindness may be seen in conditions affecting the eyes or the visual system but are not typical clinical manifestations of immunodeficiency disorders.
d. Hearing loss is more commonly associated with conditions affecting the ears or the auditory system and is not a typical clinical manifestation of immunodeficiency disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation: The correct answer is d. Immunoglobulin levels. Immunoglobulin levels, specifically IgG, IgM, and IgA, are commonly measured to assess immune function and identify deficiencies in immunoglobulin production. Abnormalities in immunoglobulin levels can indicate the presence of an immunodeficiency disorder.
Incorrect choices:
a. A complete blood count (CBC) provides information about various blood components, such as red blood cells, white blood cells, and platelets, but it does not specifically assess immune function.
b. A chest X-ray may be used to evaluate the condition of the lungs and detect infections, but it is not a specific test for immunodeficiency disorders.
c. Allergy skin testing is used to diagnose allergies and assess the body's response to allergens, but it is not a diagnostic test for immunodeficiency disorders.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Allergic reactions and skin rashes are not typically associated with immunodeficiency disorders. Immunodeficiency disorders primarily result in an increased susceptibility to infections and recurrent, severe infections.
Incorrect choices:
a. Frequent, severe infections are a common symptom of immunodeficiency disorders due to the weakened immune response, making individuals more susceptible to infections.
b. Fatigue and weakness can occur in individuals with immunodeficiency disorders due to the impact of chronic infections on the body's energy reserves.
d. Delayed wound healing may occur in individuals with immunodeficiency disorders due to the impaired immune response and decreased ability to fight infections at the site of a wound.
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