The nurse is caring for a child with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the child?

Explanation: The correct answer is b. X-linked agammaglobulinemia. X-linked agammaglobulinemia is a primary immunodeficiency disorder caused by a genetic mutation that leads to the absence of mature B cells, resulting in an inability to produce antibodies (immunoglobulins). As a result, individuals with this disorder are highly susceptible to infections, especially bacterial infections.

Incorrect choices:

a. DiGeorge syndrome is a primary immunodeficiency disorder characterized by abnormalities in the development of certain organs, including the thymus, leading to impaired T cell function.

c. Severe combined immunodeficiency (SCID) is a group of rare genetic disorders that affect both T cells and B cells, resulting in a severe impairment of the immune system.

d. Acquired immunodeficiency syndrome (AIDS) is a secondary immunodeficiency disorder caused by the human immunodeficiency virus (HIV) infection, which specifically targets and destroys CD4+ T cells, weakening the immune system's ability to fight infections.

Explanation: The correct answer is b. Common variable immunodeficiency (CVID). CVID is an example of a primary immunodeficiency disorder, which is typically caused by genetic mutations affecting the immune system's development and function.

Incorrect choices:

a. Human immunodeficiency virus (HIV) infection is an example of a secondary immunodeficiency disorder, which occurs due to an external factor, such as a viral infection, damaging the immune system.

c. Rheumatoid arthritis is an autoimmune disorder that affects the joints and is not classified as an immunodeficiency disorder.

d. Diabetes mellitus is a metabolic disorder involving insulin production and does not directly affect the immune system's function.