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?
Complete blood count (CBC)
Urinalysis
Skin testing for allergies
Flow cytometry for lymphocyte subsets
The Correct Answer is D
Explanation: The correct answer is d. Flow cytometry for lymphocyte subsets. Flow cytometry is a diagnostic test used to analyze the quantity and types of lymphocytes in the blood, which helps identify abnormalities in the immune system and diagnose immunodeficiency disorders.
Incorrect choices:
a. A complete blood count (CBC) provides general information about the client's overall blood cell counts, but it does not specifically diagnose immunodeficiency disorders.
b. Urinalysis is used to assess kidney function and identify urinary tract infections but is not a specific test for diagnosing immunodeficiency disorders.
c. Skin testing for allergies is performed to identify allergic reactions to specific allergens and is not used to diagnose immunodeficiency disorders.
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Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Failure to thrive. SCID is a severe form of immunodeficiency that affects multiple components of the immune system, leading to recurrent and severe infections and failure to thrive in affected infants.
Incorrect choices:
a. Recurrent ear infections are more commonly seen in other types of immunodeficiency disorders, such as selective IgA deficiency.
b. Chronic fatigue and lethargy may be seen in various medical conditions but are not specific to SCID.
d. Persistent joint pain is not a characteristic symptom of SCID. It may be associated with other autoimmune or inflammatory conditions.
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.
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