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. Genetic or inherited defects. Immunodeficiency disorders are primarily caused by genetic mutations or defects that result in a weakened or impaired immune system.

Incorrect choices:

a. While environmental factors can contribute to the development of secondary immunodeficiency disorders, they are not the primary cause of most immunodeficiency disorders.

c. Autoimmune reactions are not the primary cause of immunodeficiency disorders. Autoimmune disorders involve the immune system attacking the body's own tissues, not a deficiency in the immune system.

d. Excessive production of white blood cells is not the primary cause of immunodeficiency disorders. In fact, immunodeficiency disorders are characterized by a deficiency or impairment of white blood cells, which are essential components of the immune system.

Explanation: The correct answer is c. Chronic diarrhea. Primary immunodeficiency disorders can affect the gastrointestinal system, leading to chronic diarrhea due to frequent infections and inflammation.

Incorrect choices:

a. Unexplained weight loss is not a specific symptom of primary immunodeficiency disorders. It may be seen in various other medical conditions, such as cancer or metabolic disorders.

b. Recurrent skin rashes are not a characteristic symptom of primary immunodeficiency disorders. Skin rashes may be caused by allergic reactions or dermatological conditions.

d. Difficulty falling asleep is not typically associated with primary immunodeficiency disorders. It may be related to sleep disorders or anxiety.