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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Related Questions
Correct Answer is D
Explanation
Explanation: The correct answer is d. Abdominal pain and diarrhea. Abdominal pain and diarrhea are common clinical manifestations of immunodeficiency disorders. The weakened immune system makes the child more susceptible to gastrointestinal infections, leading to these symptoms.
Incorrect choices:
a. Rash and hives are more common clinical manifestations of allergic reactions or immune hypersensitivity disorders, not immunodeficiency disorders.
b. Rapid weight loss may be seen in conditions like malnutrition or metabolic disorders but is not a typical clinical manifestation of immunodeficiency disorders.
c. Excessive thirst and frequent urination are clinical manifestations of diabetes or other endocrine disorders, not immunodeficiency disorders.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Flow cytometry. Flow cytometry is a specialized test used to analyze the different cell types in a blood sample. In the case of SCID, flow cytometry can help identify the absence or severe deficiency of T cells and B cells, which are essential components of the immune system.
Incorrect choices:
a. A tuberculin skin test (TST) is used to detect exposure to tuberculosis (TB) and is not specific to diagnosing SCID.
b. A Western blot test is a type of immunoassay used to detect specific antibodies or antigens in the blood but is not specific to diagnosing SCID.
d. Liver function tests are used to assess the health of the liver and are not specific to diagnosing SCID.
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