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

Answer and Explanation

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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Correct Answer is D

Explanation

Explanation: The correct answer is d. Educating the client on proper hand hygiene. Educating the client on proper hand hygiene is essential to reduce the risk of infections in individuals with immunodeficiency disorders. Frequent handwashing is a simple yet effective way to prevent the transmission of infectious agents.

Incorrect choices:

a. Administering live vaccines is contraindicated for clients with immunodeficiency disorders, as live vaccines contain weakened pathogens that can cause serious infections in this population.

b. Encouraging the client to perform strenuous physical activities is not appropriate for someone with immunodeficiency, as strenuous activities can put additional strain on the immune system and increase the risk of infections.

c. Limiting the client's intake of fluids is not a necessary intervention for immunodeficiency disorders. Adequate fluid intake is generally important for overall health, but it is not directly related to managing immunodeficiency disorders.

A. Encourage the client to engage in vigorous physical activities to strengthen the immune system. B. Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting. C. Administer live vaccines to boost the client's immune response. D. Encourage the client to eat a diet high in fresh fruits and vegetables to improve immune function.

Correct Answer is B

Explanation

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.

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

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with immunodeficiency disorder. Which of the following interventions is essential for the nurse to implement?

Correct Answer is D

Explanation

The nurse is caring for a client with immunodeficiency disorder. Which nursing intervention should be included in the care plan?

Correct Answer is B

Explanation

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