The nurse is educating a client with an immunodeficiency disorder about nutrition. Which statement by the client indicates a need for further teaching?
"I should eat a balanced diet with plenty of fruits and vegetables."
"I will avoid consuming raw or undercooked meat and eggs."
"I need to limit my fluid intake to prevent fluid overload."
"I will avoid unpasteurized dairy products to reduce the risk of infections."
The Correct Answer is C
Explanation: The correct answer is c. "I need to limit my fluid intake to prevent fluid overload." There is no specific recommendation to limit fluid intake for clients with immunodeficiency disorders unless they have a medical condition that requires fluid restriction. Adequate fluid intake is essential for overall health, including immune function.
Incorrect choices:
a. Eating a balanced diet with plenty of fruits and vegetables is important for overall well-being, including supporting the immune system in clients with immunodeficiency disorders.
b. Avoiding raw or undercooked meat and eggs is recommended to prevent foodborne infections in all individuals, including those with immunodeficiency disorders.
d. Avoiding unpasteurized dairy products is important to reduce the risk of infections caused by foodborne pathogens in all individuals, including those with immunodeficiency disorders.
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Correct Answer is D
Explanation
Explanation: The correct answer is d. Ensuring the client receives prophylactic antibiotics as prescribed. Prophylactic antibiotics are commonly prescribed for clients with immunodeficiency disorders to prevent bacterial infections. It is essential to adhere to the prescribed antibiotic regimen to minimize the risk of infections in these clients.
Incorrect choices:
a. Administering live vaccines is contraindicated in clients with immunodeficiency disorders, as live vaccines can cause severe infections in this population. Only inactivated vaccines are recommended for these clients.
b. Regular physical exercise is beneficial for overall health, but it is not a specific intervention for managing immunodeficiency disorders.
c. Strict isolation precautions may be necessary for clients with severe immunodeficiency or during periods of increased infection risk, but it is not the priority intervention for all clients with immunodeficiency disorders.
Correct Answer is D
Explanation
Explanation: The correct answer is d. Selective IgA deficiency. This disorder is characterized by a lack of immunoglobulin A, which can lead to an increased susceptibility to infections, particularly in the respiratory and gastrointestinal tracts.
Incorrect choices:
a. Selective IgM deficiency is a rare immunodeficiency disorder characterized by a lack of immunoglobulin M (IgM), not IgA.
b. X-linked agammaglobulinemia is a primary immunodeficiency disorder caused by a mutation in the BTK gene, resulting in a deficiency of B cells and immunoglobulins.
c. Common variable immunodeficiency (CVID) is a heterogeneous group of disorders characterized by decreased levels of immunoglobulins, including IgA, IgG, and IgM.
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