The nurse is caring for a patient who has had pneumonia twice in the last 6 months. Which of the following does this suggest to the nurse?
1. Immunodeficiency
2. Poor self-care habits
3. Poor air quality in the home
4. Poor nutritional status
Immunodeficiency
Rationale: A failure in the immune system will lead to a tendency to develop unusual or recurrent severe infections. Immunodeficiency should be considered when an individual has frequent, severe, documented infections such as pneumonia. There is no evidence to suggest that the patient has poor self-care habits or has poor air quality in the home. There is not enough information to assume that the patient needs a pneumonia vaccination or that the patient has poor nutritional status.
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