The nurse is providing education to a client with a primary immunodeficiency disorder. Which statement by the client indicates a need for further teaching?

Explanation: The correct answer is c. X-linked agammaglobulinemia. This disorder primarily affects males and is caused by mutations in the BTK gene, resulting in a lack of mature B cells and immunoglobulins.

Incorrect choices:

a. Selective IgA deficiency is a primary immunodeficiency disorder characterized by a deficiency of immunoglobulin A (IgA), and it can affect both males and females.

b. DiGeorge syndrome is caused by a chromosome 22 deletion and is not inherited in an X-linked recessive pattern.

d. Severe combined immunodeficiency (SCID) is a group of disorders that can be inherited in various patterns, including autosomal recessive, autosomal dominant, or X-linked recessive. SCID affects both males and females and results in a severe deficiency of T cells, B cells, and natural killer (NK) cells.

Explanation: The correct answer is c. Frequent and severe infections. Immunodeficiency disorders impair the body's ability to fight infections, leading to recurrent and severe infections. This is a hallmark sign of immunodeficiency.

Incorrect choices:

a. Hyperactivity and restlessness are not typical clinical manifestations of immunodeficiency disorders. These symptoms are more commonly associated with conditions like attention deficit hyperactivity disorder (ADHD).

b. Increased appetite and weight gain are not specific to immunodeficiency disorders. They may be seen in conditions like hypothyroidism or certain eating disorders.

d. Hypertension and tachycardia are not characteristic clinical manifestations of immunodeficiency disorders. These symptoms may be associated with cardiovascular issues.