The nurse is reviewing the diagnostic evaluation for a client with suspected immunodeficiency disorder. Which finding would be consistent with a potential diagnosis of severe combined immunodeficiency (SCID)?

Increased levels of circulating B cells

Elevated immunoglobulin M (IgM) levels

Abnormal antibody response to vaccinations

Absence or significantly reduced T cell levels

Answer and Explanation

The Correct Answer is D

Explanation: The correct answer is d. Absence or significantly reduced T cell levels. Severe combined immunodeficiency (SCID) is characterized by a severe deficiency or absence of T cells, which are essential for cell-mediated immunity.

Incorrect choices:

a. Increased levels of circulating B cells are not characteristic of SCID. In SCID, both T and B cell immunity are affected, and the client may have reduced levels of both.

b. Elevated immunoglobulin M (IgM) levels may occur in certain types of immunodeficiency disorders, but it is not a specific finding for SCID.

c. Abnormal antibody response to vaccinations can be observed in various immunodeficiency disorders, but it does not specifically indicate SCID.

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Correct Answer is A

Explanation

Explanation: The correct answer is a. Complete blood count (CBC) with differential. A CBC with differential is essential for monitoring the client's immune status and treatment response. It provides information about the client's white blood cell count, including different types of white blood cells, such as lymphocytes, which play a crucial role in the immune response.

Incorrect choices:

b. Blood glucose level is not specifically related to monitoring the immune status or treatment response in clients with immunodeficiency disorders.

c. Liver function tests (LFTs) are important for monitoring liver health but are not directly related to the immune status or treatment response in clients with immunodeficiency disorders.

d. An electrolyte panel is used to assess the balance of electrolytes in the body and is not specifically related to monitoring the immune status or treatment response in clients with immunodeficiency disorders.

A. X-linked agammaglobulinemia B. DiGeorge syndrome C. Wiskott-Aldrich syndrome D. Severe combined immunodeficiency (SCID)

Correct Answer is B

Explanation

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.

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The nurse is reviewing the diagnostic evaluation for a client with suspected immunodeficiency disorder. Which finding would be consistent with a potential diagnosis of severe combined immunodeficiency (SCID)?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with an immunodeficiency disorder. Which laboratory test is essential for monitoring the client's immune status and treatment response?

Correct Answer is A

Explanation

Which type of immunodeficiency disorder is characterized by a defect in T cell function and is often associated with developmental delays, chronic infections, and autoimmune manifestations?

Correct Answer is B

Explanation

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

The nurse is caring for a client with an immunodeficiency disorder. Which precaution should the nurse take when caring for the client?

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

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Which of the following diagnostic tests is commonly used to assess immune function in individuals suspected of having an immunodeficiency disorder?

Which type of immunodeficiency disorder is characterized by a lack of T cell function and is often referred to as "bubble boy disease"?

The nurse is caring for a client with an immunodeficiency disorder. Which nursing intervention is essential to prevent infections in this client?

The nurse is providing education to a client with an immunodeficiency disorder. Which instruction is essential for the client's self-management and treatment?