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 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.

Explanation: The correct answer is c. Primary immunodeficiency disorders are typically present at birth or during early childhood and are caused by genetic defects that affect the function of the immune system. They are not acquired later in life due to environmental factors.

Incorrect choices:

a. Primary immunodeficiency disorders are not acquired later in life; they are usually genetic and present from birth.

b. Primary immunodeficiency disorders are characterized by a weakened or deficient immune response, not an overactive immune response.

d. Primary immunodeficiency disorders are often not easily treatable with antibiotics and antiviral medications because they result from genetic defects in the immune system.