An 18-month-old female patient is diagnosed with her fifth ear ...

[ARLKQ]

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

Question 2

When assessing high-risk behaviors, which question specifically identifies a blood-related risk for a sexually transmitted infection?
 
  a. Have you ever received donor semen, eggs, or transplanted tissue?
  b. Have you ever exchanged sex for drugs, money, or shelter?
  c. How do you protect yourself from HIV and sexually transmitted infections?
  d. Have you ever injected drugs using shared equipment?

[uniquea123]

Answer to Question 1

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.

Answer to Question 2

ANS: A
Receipt of any donated organ, tissue, semen, or eggs is considered a blood-related risk. Other blood-related risks include blood transfusion, sex with a person with hemophilia, or sharing equipment for tattoos and body piercing. The exchange of sex for money, drugs, or shelter is considered a drug use-related risk. Other drug use-related risks include having sex with a person who uses or shares, and having sex while stoned, high, or drunk so that you cannot remember the details. By using male condoms, female condoms, or other barriers, patient can protect themselves against sexual risk. Other high-risk behaviors in this category include: having sex against one's will, failing to use protection, having sex with a partner who is bisexual or gay, having anal intercourse, and sexual activity with an increased number of partners. Sharing equipment to inject street drugs or steroids is a drug use-related risk.