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

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.

Explanation: The correct answer is c. Severe combined immunodeficiency (SCID). 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. Individuals with SCID are highly susceptible to infections and may need to live in a protected environment to avoid exposure to pathogens, hence the term "bubble boy disease."

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, but it does not affect B cell function.

b. X-linked agammaglobulinemia is a primary immunodeficiency disorder characterized by a lack of mature B cells and an inability to produce antibodies, but it does not affect T cell function.

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, but it does not affect B cell function.