Which of the following is a primary immunodeficiency disorder?

Human immunodeficiency virus (HIV) infection

Common variable immunodeficiency (CVID)

Rheumatoid arthritis

Diabetes mellitus

Answer and Explanation

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. "I should avoid close contact with pets to reduce the risk of infections." While it is essential to practice good hygiene when handling pets, avoiding close contact with pets is not typically necessary for clients with immunodeficiency disorders unless they have a specific allergy or pet-related infection.

Incorrect choices:

a. Avoiding crowded places and large gatherings is important for clients with immunodeficiency disorders, as it helps reduce the risk of exposure to infections.

b. Cleaning and disinfecting frequently touched surfaces in the home regularly can help prevent the transmission of infections in clients with immunodeficiency disorders.

d. Wearing a mask when visiting the hospital or healthcare settings is a standard infection prevention measure for clients with immunodeficiency disorders to reduce the risk of acquiring infections from others.

VI. Nursing Considerations:

Questions

A. Encourage the client to receive live vaccines for added protection. B. Prescribe broad-spectrum antibiotics prophylactically. C. Administer intramuscular immunoglobulins (IG) as ordered. D. Initiate high-dose corticosteroid therapy to reduce inflammation.

Correct Answer is C

Explanation

Explanation: The correct answer is c. Administer intramuscular immunoglobulins (IG) as ordered. For clients with immunodeficiency disorders, intramuscular immunoglobulins can be prescribed to provide passive immunity and help prevent infections. Immunoglobulins contain antibodies that the client's immune system may be lacking, offering protection against various pathogens.

Incorrect choices:

a. Encouraging the client to receive live vaccines is not appropriate for clients with immunodeficiency disorders. Live vaccines contain live, attenuated viruses or bacteria, which can cause severe infections in individuals with compromised immune systems.

b. Prescribing broad-spectrum antibiotics prophylactically may be used in some cases, but it is not the first-line treatment for immunodeficiency disorders. It is essential to identify the specific pathogens causing infections before initiating antibiotic therapy to avoid antimicrobial resistance.

d. Initiating high-dose corticosteroid therapy is not appropriate for the management of immunodeficiency disorders. Corticosteroids can suppress the immune system further and increase the risk of infections in these clients.

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Which of the following is a primary immunodeficiency disorder?

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Naxlex Comprehensive Predictor Exams

The nurse is educating a client with an immunodeficiency disorder about infection prevention. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

The nurse is caring for a client with an immunodeficiency disorder. Which intervention is appropriate for the management and treatment of this condition?

Correct Answer is C

Explanation

The nurse is caring for a client with an immunodeficiency disorder. Which laboratory test is essential for monitoring the client's immune status and treatment response?

Which of the following immunodeficiency disorders is characterized by a deficiency of T and B cells, as well as impaired cellular and humoral immunity?

The nurse is caring for a child with severe combined immunodeficiency (SCID). Which precaution should the nurse take to protect the child from infections?

The nurse is caring for a child with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the child?

The nurse is caring for a client suspected of having a primary immunodeficiency disorder. Which laboratory test should the nurse anticipate being prescribed for the client?a. Enzyme-linked immunosorbent assay (ELIS

Which of the following is a common clinical manifestation of immunodeficiency disorders?

Which type of immunodeficiency disorder is characterized by a deficiency or absence of B cells and the inability to produce antibodies?

Which of the following is a characteristic of primary immunodeficiency disorders?