PrepU Mastery- Management of pts with immune deficiency disorders

A treatment option for severe combined immune deficiency (SCID) includes chemotherapy. vitamin D supplements. a stem cell transplant. IV immunoglobulin

a stem cell transplant.

The nurse is gathering data from laboratory studies for a client who has HIV. The client's CD4+ cell count is 200/mm³, and the client has been diagnosed with pneumocystis pneumonia. What does this indicate to the nurse? The client has converted from HIV infection to AIDS. The client has advanced HIV infection. The client's CD4+ cell count has decreased due to the pneumocystis pneumonia. The client has another infection present that is causing a decrease in the CD4+ cell count.

The client has converted from HIV infection to AIDS.

The nurse is caring for a young client who has agammaglobulinemia. The nurse is teaching the family how to avoid infection at home. Which statement by the family indicates that additional teaching is needed? "I will let my neighbor have my pet iguana." "I will apply lotion following every bath to prevent dry skin." "I can take my child to the beach, as long as we play in the sand rather than swim in the water." "I will avoid letting my child drink any juice that has been sitting out for more than an hour."

"I can take my child to the beach, as long as we play in the sand rather than swim in the water."

The nurse is instructing a male client about safer sexual behaviors. Which client statement indicates a need for additional instruction? "I will apply baby oil to lubricate the condom." "I should use a new condom each time I have sex." "My partner and I should avoid manual-anal intercourse." "After having sex, I should hold onto the condom when pulling out."

"I will apply baby oil to lubricate the condom."

A client is to have a hip replacement in 3 months and does not want a blood transfusion from random donors. What option can the nurse discuss with the client? Sign a refusal of blood transfusion form so the client will not receive the transfusion. Bank autologous blood. Ask people to donate blood. Using volume expanders in case blood is needed.

Bank autologous blood.

As part of HAART therapy, a client is prescribed a non-nucleoside reverse transcriptase inhibitor (NNRTI). What would be an example of a drug from this class? Select all that apply. Abacavir Delavirdine Amprenavir Efavirenz Stavudine

Delavirdine Efavirenz

A nurse is preparing to give a client an infusion of gamma globulin. The nurse knows to stop the infusion if the client experiences which symptoms? Select all that apply. Flank pain Shaking chills Tightness in the chest Hunger Fatigue

Flank pain Shaking chills Tightness in the chest

A client with ataxia-telangiectasia is admitted to the unit. The nurse caring for the client would expect to see what included in the treatment regimen? IV gamma globulin administration Platelet administration Factor VIII administration Thymus grafting

IV gamma globulin administration

A nurse knows that more than 50% of clients with CVID develop the following disorder. Pernicious anemia Neutropenia Hypocalcemia Chronic diarrhea

Pernicious anemia

What treatment option does the nurse anticipate for the patient with severe combined immunodeficiency disease (SCID)? Bone marrow transplantation Antibiotics Radiation therapy Removal of the thymus gland

Bone marrow transplantation

Which type of phagocytic disorder occurs when white blood cells cannot initiate an inflammatory response to infectious organisms? Agammaglobulinemia Hyperimmunoglobulinemia Panhypoglobulinemia Telangiectasia

Hyperimmunoglobulinemia

The nurse is aware that the most prevalent cause of immunodeficiency worldwide is Malnutrition Neutropenia Hypocalcemia Chronic diarrhea

Malnutrition

A client with acquired immune deficiency syndrome (AIDS) is exhibiting shortness of breath, cough, and fever. What type of infection will the nurse most likely suspect? Mycobacterium avium complex Legionella Cytomegalovirus Pneumocystis jiroveci

Pneumocystis jiroveci

Kaposi sarcoma (KS) is diagnosed through skin scraping. biopsy. visual assessment. computed tomography.

biopsy

Which adverse effect(s) should the nurse closely monitor in a client who has secondary immunodeficiencies due to immunosuppressive therapy? Depression, memory impairment, and coma Respiratory or urinary system infections Rheumatoid arthritis Cardiac dysrhythmias and heart failure

Respiratory or urinary system infections

A client with AIDS is admitted to the hospital with severe diarrhea and dehydration. The physician suspects an infection with Cryptosporidium. What type of specimen should be collected to confirm this diagnosis? Urine specimen for culture and sensitivity Blood specimen for electrolyte studies Stool specimen for ova and parasites Sputum specimen for acid fast bacillus

Stool specimen for ova and parasites

Telangiectasia is the term that refers to Vascular lesions caused by dilated blood vessels Inability to understand the spoken word Uncoordinated muscle movement Difficulty swallowing

Vascular lesions caused by dilated blood vessels

A client has been diagnosed with HIV and has been placed on antiretroviral therapy. What does the nurse inform the client will be required for determining the progression of the disease as well as guiding drug therapy? The client will be required to stop the medication for 2 weeks and then have laboratory studies drawn to determine if the antiretroviral therapy has cured the disease. Viral load and T4-cell counts will be performed every 2 to 3 months. More antiretroviral medication will be added every 2 to 3 months. The Western blot test will be monitored every 6 months to see if the virus is still present.

Viral load and T4-cell counts will be performed every 2 to 3 months.

A secondary immunodeficiency is characterized by the following. Choose all that apply. It usually occurs as a result of underlying disease processes. It frequently is caused by certain autoimmune disorders. It may be caused by certain viruses. IgA deficiency is present in 40% of individuals. It is less common than primary immunodeficiency.

It usually occurs as a result of underlying disease processes. It frequently is caused by certain autoimmune disorders. It may be caused by certain viruses.

A client is beginning highly active antiretroviral therapy (HAART). The client demonstrates an understanding of the need for follow up when scheduling a return visit for viral load testing at which time? 6 weeks 12 weeks 18 weeks 24 weeks

6 weeks

The nurse receives a phone call at the clinic from the family of a client with AIDS. They state that the client started "acting funny" and reported headache, tiredness, and a stiff neck. Checking the temperature resulted in a fever of 103.2°F. What should the nurse inform the family member? "The client probably has a case of the flu and you should give acetaminophen." "The client may have cryptococcal meningitis and will need to be evaluated by the health care provider." "This is one of the side effects from antiretroviral therapy and will require changing the medication." "The client probably has pneumocystis pneumonia and will need to be evaluated by the health care provider."

"The client may have cryptococcal meningitis and will need to be evaluated by the health care provider."