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 C
Explanation
Explanation: The correct answer is c. Administer intramuscular immunoglobulins (IG) as ordered. For clients with immunodeficiency disorders, intramuscular immunoglobulins can be prescribed to provide passive immunity and help prevent infections. Immunoglobulins contain antibodies that the client's immune system may be lacking, offering protection against various pathogens.
Incorrect choices:
a. Encouraging the client to receive live vaccines is not appropriate for clients with immunodeficiency disorders. Live vaccines contain live, attenuated viruses or bacteria, which can cause severe infections in individuals with compromised immune systems.
b. Prescribing broad-spectrum antibiotics prophylactically may be used in some cases, but it is not the first-line treatment for immunodeficiency disorders. It is essential to identify the specific pathogens causing infections before initiating antibiotic therapy to avoid antimicrobial resistance.
d. Initiating high-dose corticosteroid therapy is not appropriate for the management of immunodeficiency disorders. Corticosteroids can suppress the immune system further and increase the risk of infections in these clients.
Correct Answer is D
Explanation
Explanation: The correct answer is d. Immunoglobulin levels. Immunoglobulin levels, specifically IgG, IgM, and IgA, are commonly measured to assess immune function and identify deficiencies in immunoglobulin production. Abnormalities in immunoglobulin levels can indicate the presence of an immunodeficiency disorder.
Incorrect choices:
a. A complete blood count (CBC) provides information about various blood components, such as red blood cells, white blood cells, and platelets, but it does not specifically assess immune function.
b. A chest X-ray may be used to evaluate the condition of the lungs and detect infections, but it is not a specific test for immunodeficiency disorders.
c. Allergy skin testing is used to diagnose allergies and assess the body's response to allergens, but it is not a diagnostic test for immunodeficiency disorders.
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