2 days post op- findings should alert nurse that client is developing an infection?

Correct Answer: B

Rationale: The correct answer is B because erythema at the incision site is an early sign of a wound infection. It indicates inflammation and possible bacterial presence, necessitating nurse intervention. WBC count within range (choice A) does not necessarily rule out infection. Clear drainage (choice C) may not always indicate infection, and reduced pain (choice D) can be subjective and not a reliable indicator of infection. Erythema is a specific indicator that warrants immediate attention to prevent further complications.

Correct Answer: D

Rationale: The correct answer is D: Genetic. Primary immunodeficiencies are inherited disorders caused by genetic mutations affecting the immune system. These mutations can lead to deficiencies in various components of the immune system, such as T cells, B cells, phagocytes, and complement proteins. IgM (A) and antibodies (C) are components of the immune system but do not represent the mechanism through which primary immunodeficiencies are passed. B cells (B) are involved in the immune response but are not the mechanism of inheritance for primary immunodeficiencies. Therefore, the most accurate and comprehensive explanation is that primary immunodeficiencies are passed through genetic mechanisms due to inherited genetic mutations affecting the immune system.

Correct Answer: B

Rationale: The correct answer is B - Leukaemia is a cancer of the blood or bone marrow. Leukaemia specifically affects the white blood cells, disrupting their normal production and function. This leads to an overproduction of abnormal white blood cells, which can crowd out healthy cells. The other choices are incorrect because leukaemia is not a cancer of the blood vessels (A), an infection (C), or a cancer of the stomach (D). Understanding the nature of leukaemia as a cancer of the blood or bone marrow is crucial for accurate diagnosis and treatment.

Correct Answer: D

Rationale: Systemic lupus erythematosus (SLE) is more commonly seen in women, with a female to male ratio of 9:1. This is due to hormonal and genetic factors that predispose women to autoimmune diseases like SLE. Women of childbearing age are at the highest risk. Men and children are less commonly affected by SLE compared to women. Therefore, the correct answer is D: Women.

Correct Answer: C

Rationale: The correct answer is C: Education. Parents of a child with a hematologic alteration need major assistance in education because they require guidance on understanding the condition, treatment options, potential complications, and how to manage the child's health effectively. This knowledge is crucial for ensuring the child receives appropriate medical care and support. Choice A (Nutrition) may be important but not necessarily the primary concern in this case. Choice B (Discipline) is important for parenting in general but not specifically related to managing a hematologic alteration. Choice D (Sleep) is also important but not as critical as education in this context.