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.
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Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Limit visitors to family members only. Clients with immunodeficiency disorders are at increased risk of infections, and limiting visitors to family members only can help reduce the risk of exposure to infectious agents. It is essential to create a controlled and safe environment for these clients.
Incorrect choices:
a. Encouraging the client to interact with other clients in the unit can increase the risk of exposure to infections and is not appropriate for someone with immunodeficiency.
b. Live vaccines contain weakened pathogens and are contraindicated for clients with immunodeficiency disorders, as they can cause serious infections in this population.
d. Providing the client with a private room with negative pressure is not necessary for every client with immunodeficiency disorder. Negative pressure rooms are used for clients with specific airborne infectious diseases, and the decision to use such rooms is based on the specific circumstances of each client.
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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