The nurse is providing education to a client with an immunodeficiency disorder. Which instruction is essential for the client's self-management and treatment?
"Practice proper hand hygiene and infection prevention measures."
"Engage in intense physical activities to boost your immune system."
"Limit your fluid intake to avoid fluid overload."
"Consume a diet rich in raw and undercooked meat for added nutrients."
The Correct Answer is A
Explanation: The correct answer is a. "Practice proper hand hygiene and infection prevention measures." Proper hand hygiene, including regular handwashing with soap and water, is essential for clients with immunodeficiency disorders to reduce the risk of acquiring infections. It is one of the most effective ways to prevent the transmission of pathogens.
Incorrect choices:
b. Engaging in intense physical activities is not recommended for clients with immunodeficiency disorders, as it can put additional stress on the immune system. Moderate, regular exercise is beneficial for overall health, but extreme physical activities may be harmful to the immune system.
c. There is no need for clients with immunodeficiency disorders to limit their fluid intake unless they have a medical condition that requires fluid restriction. Adequate fluid intake is essential for overall health and immune function.
d. Consuming a diet rich in raw and undercooked meat is not recommended for clients with immunodeficiency disorders, as it can increase the risk of foodborne infections. It is important for these clients to follow food safety guidelines and avoid consuming raw or undercooked meat.
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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. Common variable immunodeficiency (CVID) is characterized by a deficiency or absence of B cells, leading to a reduced ability to produce antibodies and an increased susceptibility to infections.
Incorrect choices:
a. DiGeorge syndrome is a disorder caused by a genetic defect resulting in the underdevelopment of the thymus and parathyroid glands, leading to T cell deficiency.
b. Severe combined immunodeficiency (SCID) is a severe form of immunodeficiency that affects both B and T cells, leading to a complete absence or dysfunction of the immune system.
d. Wiskott-Aldrich syndrome is a rare X-linked genetic disorder characterized by a triad of symptoms, including eczema, low platelet count, and immunodeficiency. It primarily affects T cells and platelets, not B cells.
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