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Chapter 2: Problem 179

During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? A. Administering an antibiotic B. Contacting the physician for an order for immune globulin C. Administering an antiviral D. Telling the client that he should remain in isolation for 2 weeks

Short Answer

Expert verified
Answer: The most appropriate action for a nurse to take when a client with AIDS reports exposure to measles is to contact the physician for an order for immune globulin. This can help the client's immune system fight off the virus and potentially prevent or lessen the severity of the disease, especially considering their weakened immune system.

Step by step solution

01

Identify facts about the client and the problem

The client has AIDS, which means they have a weakened immune system. They have also been exposed to measles, which is a highly contagious viral disease.
02

Understand the available options

We have four possible actions to consider: A. Administer an antibiotic B. Contact the physician for an order for immune globulin C. Administer an antiviral D. Tell the client that they should remain in isolation for 2 weeks
03

Evaluate Option A - Antibiotics

Antibiotics are usually used to treat bacterial infections, not viral infections like measles. Although they may be helpful in treating secondary bacterial infections in some cases, antibiotics will not be effective in directly treating the measles virus.
04

Evaluate Option B - Immune Globulin

Immune globulin is a blood product containing antibodies. Administering immune globulin to someone who has been exposed to measles can help their immune system fight off the virus and potentially prevent or lessen the severity of the disease. This option could be especially beneficial for clients with weakened immune systems, like those with AIDS.
05

Evaluate Option C - Antivirals

Antiviral medications can be effective for treating viral infections. However, there is no specific antiviral medication approved for the treatment of measles. Additionally, the World Health Organization does not currently recommend antiviral therapy for measles.
06

Evaluate Option D - Isolation

Isolation for 2 weeks is a recommended measure for measles patients to prevent the spread of the disease, but it does not provide any preventive or treatment benefits to the person exposed to measles. While the client with AIDS might need to take extra precautions, isolation alone would not be an adequate response to their exposure.
07

Choose the most appropriate response

Based on the evaluations of the four options, contacting the physician for an order for immune globulin (Option B) is the most appropriate action. Immune globulin can offer preventative benefits and has a higher likelihood of being effective in this client's situation, given their weakened immune system.

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