The nurse is caring for a client suspected of having a primary immunodeficiency disorder. Which laboratory test should the nurse anticipate being prescribed for the client?a. Enzyme-linked immunosorbent assay (ELIS
Chest X-ray
Serum immunoglobulin levels
Complete blood count (CBC)
The Correct Answer is C
Explanation: The correct answer is c. Serum immunoglobulin levels. A primary immunodeficiency disorder often results in abnormal levels of immunoglobulins (antibodies) in the blood. Measuring serum immunoglobulin levels can help identify potential deficiencies and guide the diagnosis of primary immunodeficiency disorders.
Incorrect choices:
a. Enzyme-linked immunosorbent assay (ELISA) is a test used to detect specific antibodies or antigens in the blood, but it is not specific to diagnosing primary immunodeficiency disorders.
b. A chest X-ray is not a specific test for diagnosing primary immunodeficiency disorders. It is typically used to assess the condition of the lungs and chest organs.
d. A complete blood count (CBC) is a general blood test that may reveal abnormalities in white blood cell count but does not specifically assess immunoglobulin levels.
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Correct Answer is B
Explanation
Explanation: The correct answer is b. "I will make sure to get all the live vaccines recommended for my age." Clients with immunodeficiency disorders should not receive live vaccines, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.
Incorrect choices:
a. Avoiding contact with individuals who have colds or other infections is essential for clients with immunodeficiency disorders, as they are at a higher risk of acquiring infections.
c. Practicing good hand hygiene and washing hands frequently are essential infection prevention measures for clients with immunodeficiency disorders.
d. Informing the healthcare provider if any signs of infection develop is crucial for early detection and treatment of infections in clients with immunodeficiency disorders.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Common variable immunodeficiency (CVID) is characterized by a deficiency or absence of B cells, leading to a reduced ability to produce antibodies and an increased susceptibility to infections.
Incorrect choices:
a. DiGeorge syndrome is a disorder caused by a genetic defect resulting in the underdevelopment of the thymus and parathyroid glands, leading to T cell deficiency.
b. Severe combined immunodeficiency (SCID) is a severe form of immunodeficiency that affects both B and T cells, leading to a complete absence or dysfunction of the immune system.
d. Wiskott-Aldrich syndrome is a rare X-linked genetic disorder characterized by a triad of symptoms, including eczema, low platelet count, and immunodeficiency. It primarily affects T cells and platelets, not B cells.
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