An 18-month-old female patient is diagnosed with her fifth ear infection in the past 10 months

The physician notes that the child's growth rate has decreased from the 60th percentile for height and weight to the 15th percentile over that same time period. The child has been treated for thrush consistently since the third ear infection. The nurse understands that the patient is at risk for which condition?
a. Primary immunodeficiency
b. Secondary immunodeficiency
c. Cancer
d. Autoimmunity


ANS: A
Primary immunodeficiency is a risk for patients with two or more of the listed problems. Secondary immunodeficiency is induced by illness or treatment. Cancer is caused by abnormal cells that will trigger an immune response. Autoimmune diseases are caused by hyperimmunity.

Nursing

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The nurse is providing care for several clients on a medical-surgical unit. The nurse anticipates that the client with which condition may require surgery?

A) Hepatitis B) Pancreatitis C) Pyloric stenosis D) Fecal impaction

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Which of these factors is most likely to result in fetal hypoxia during a dysfunctional labor?

a. Incomplete uterine relaxation b. Maternal fatigue and exhaustion c. Maternal sedation with narcotics d. Administration of tocolytic drugs

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The peripheral parenteral nutrition bag that

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A patient is on a daily regimen of a corticosteroid. She contracts a streptococcal throat infection. How should she alter her corticosteroid dosage?

A) Skip the dose while on antibiotics B) Double the dosage while on antibiotics C) Reduce the dose by half while on antibiotics D) Replace the corticosteroid with an antibiotic

Nursing