Which of the following is a primary immunodeficiency disorder?
Human immunodeficiency virus (HIV) infection
Common variable immunodeficiency (CVID)
Rheumatoid arthritis
Diabetes mellitus
The Correct Answer is B
Explanation: The correct answer is b. Common variable immunodeficiency (CVID). CVID is an example of a primary immunodeficiency disorder, which is typically caused by genetic mutations affecting the immune system's development and function.
Incorrect choices:
a. Human immunodeficiency virus (HIV) infection is an example of a secondary immunodeficiency disorder, which occurs due to an external factor, such as a viral infection, damaging the immune system.
c. Rheumatoid arthritis is an autoimmune disorder that affects the joints and is not classified as an immunodeficiency disorder.
d. Diabetes mellitus is a metabolic disorder involving insulin production and does not directly affect the immune system's function.
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Correct Answer is C
Explanation
Explanation: The correct answer is c. Implement strict infection control measures. Clients with immunodeficiency disorders have a weakened immune system and are more susceptible to infections. Implementing strict infection control measures, such as hand hygiene, using personal protective equipment, and limiting exposure to potential sources of infection, can help prevent the spread of pathogens and protect the client from infections.
Incorrect choices:
a. Encouraging the client to participate in crowded social gatherings can put the client at risk of exposure to infectious agents, which 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. While a diet high in fresh fruits and vegetables is generally beneficial for overall health, it does not specifically address the increased risk of infections in clients with immunodeficiency disorders. Strict infection control measures are more relevant to preventing infections in these clients.
Correct Answer is B
Explanation
Explanation: The correct answer is b. X-linked agammaglobulinemia. X-linked agammaglobulinemia is a primary immunodeficiency disorder caused by a genetic mutation that leads to the absence of mature B cells, resulting in an inability to produce antibodies (immunoglobulins). As a result, individuals with this disorder are highly susceptible to infections, especially bacterial infections.
Incorrect choices:
a. DiGeorge syndrome is a primary immunodeficiency disorder characterized by abnormalities in the development of certain organs, including the thymus, leading to impaired T cell function.
c. Severe combined immunodeficiency (SCID) is a group of rare genetic disorders that affect both T cells and B cells, resulting in a severe impairment of the immune system.
d. Acquired immunodeficiency syndrome (AIDS) is a secondary immunodeficiency disorder caused by the human immunodeficiency virus (HIV) infection, which specifically targets and destroys CD4+ T cells, weakening the immune system's ability to fight infections.
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