The client is undergoing a splenectomy as a result of splenic rupture and hemorrhage after a motor vehicle crash. Which is the most important precaution to teach this client regarding immunologic function and health alteration?
A. "You will no longer develop a fever when you have an infection, so you must learn to identify other symptoms of infection."
B. "You will be at a decreased risk for developing allergies, so it will no longer be necessary for you to avoid common allergens."
C. "You will need to avoid people with viral infections because it is harder now for you to develop antibodies."
D. "You will need to have yearly checkups because your risk for cancer development is greater now."
C
The spleen is the major site of B-lymphocyte maturation and antibody production. People who undergo splenectomies for any reason have a decreased antibody-mediated immune response and are particularly susceptible to viral infections.
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