The nurse is providing education to a client with a primary immunodeficiency disorder. Which statement by the client indicates a need for further teaching?
"I should avoid contact with individuals who are sick or have infections."
"I will take my prescribed immunoglobulin therapy as scheduled."
"It's essential for me to receive all recommended vaccines, including live vaccines."
"I should report any signs of infection or illness to my healthcare provider promptly."
The Correct Answer is C
Explanation: The correct answer is c. "It's essential for me to receive all recommended vaccines, including live vaccines." Clients with primary immunodeficiency disorders should not receive live vaccines, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.
Incorrect choices:
a. Avoiding contact with sick individuals is crucial for clients with primary immunodeficiency disorders to minimize the risk of acquiring infections.
b. Taking prescribed immunoglobulin therapy as scheduled is an important treatment for clients with primary immunodeficiency disorders to boost their immune response and prevent infections.
d. Reporting any signs of infection or illness promptly to the healthcare provider is essential for early detection and treatment of infections in clients with primary immunodeficiency disorders.
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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 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.
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