The nurse is assisting with a bone marrow aspiration for a client with suspected immunodeficiency disorder. Which information should the nurse provide to the client regarding this procedure?
The procedure will assess the function of the client's immune system.
The procedure involves removing a sample of lymph nodes for examination.
The client will receive general anesthesia during the procedure.
The procedure is a blood test to measure the level of circulating antibodies.
The Correct Answer is A
Explanation: The correct answer is a. The procedure will assess the function of the client's immune system. A bone marrow aspiration is a diagnostic procedure that involves extracting a sample of bone marrow to evaluate the production and function of blood cells, including immune cells.
Incorrect choices:
b. A bone marrow aspiration does not involve removing lymph nodes. It is a procedure specifically focused on obtaining a bone marrow sample.
c. General anesthesia is not typically used for a bone marrow aspiration. Instead, local anesthesia is administered to numb the area around the bone marrow site.
d. A bone marrow aspiration is not a blood test to measure circulating antibodies. It is used to evaluate the bone marrow's cellular components, not circulating antibodies.
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Correct Answer is D
Explanation
Explanation: The correct answer is d. Flow cytometry for lymphocyte subsets. Flow cytometry is a diagnostic test used to analyze the quantity and types of lymphocytes in the blood, which helps identify abnormalities in the immune system and diagnose immunodeficiency disorders.
Incorrect choices:
a. A complete blood count (CBC) provides general information about the client's overall blood cell counts, but it does not specifically diagnose immunodeficiency disorders.
b. Urinalysis is used to assess kidney function and identify urinary tract infections but is not a specific test for diagnosing immunodeficiency disorders.
c. Skin testing for allergies is performed to identify allergic reactions to specific allergens and is not used to diagnose immunodeficiency disorders.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Failure to thrive. SCID is a severe form of immunodeficiency that affects multiple components of the immune system, leading to recurrent and severe infections and failure to thrive in affected infants.
Incorrect choices:
a. Recurrent ear infections are more commonly seen in other types of immunodeficiency disorders, such as selective IgA deficiency.
b. Chronic fatigue and lethargy may be seen in various medical conditions but are not specific to SCID.
d. Persistent joint pain is not a characteristic symptom of SCID. It may be associated with other autoimmune or inflammatory conditions.
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