The nurse is caring for a client suspected of having an immunodeficiency disorder. Which diagnostic test should the nurse anticipate being ordered to confirm the diagnosis?

Explanation: The correct answer is b. DiGeorge syndrome. This disorder is caused by a deletion in chromosome 22, resulting in the underdevelopment of the thymus and parathyroid glands. It leads to impaired T cell function and is associated with developmental delays, chronic infections, and autoimmune problems.

Incorrect choices:

a. X-linked agammaglobulinemia is a primary immunodeficiency disorder that primarily affects B cell function, leading to a deficiency of immunoglobulins (antibodies).

c. Wiskott-Aldrich syndrome is an X-linked recessive disorder characterized by a triad of symptoms: eczema, thrombocytopenia (low platelet count), and immunodeficiency.

d. Severe combined immunodeficiency (SCID) is a group of rare disorders characterized by a severe deficiency of T cells, B cells, and natural killer (NK) cells.

Explanation: The correct answer is c. Autoimmune diseases are a potential complication of primary immunodeficiency disorders. When the immune system is deficient or dysfunctional, it may fail to distinguish between self and non-self antigens, leading to the development of autoimmune diseases.

Incorrect choices:

a. Hypertension is a condition characterized by high blood pressure and is not directly related to primary immunodeficiency disorders.

b. Chronic fatigue syndrome is a complex disorder with unknown causes and is not directly related to primary immunodeficiency disorders.

d. Diabetes mellitus is a metabolic disorder caused by insufficient insulin production or insulin resistance and is not directly related to primary immunodeficiency disorders.