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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Allergic reactions and skin rashes are not typically associated with immunodeficiency disorders. Immunodeficiency disorders primarily result in an increased susceptibility to infections and recurrent, severe infections.
Incorrect choices:
a. Frequent, severe infections are a common symptom of immunodeficiency disorders due to the weakened immune response, making individuals more susceptible to infections.
b. Fatigue and weakness can occur in individuals with immunodeficiency disorders due to the impact of chronic infections on the body's energy reserves.
d. Delayed wound healing may occur in individuals with immunodeficiency disorders due to the impaired immune response and decreased ability to fight infections at the site of a wound.
Correct Answer is D
Explanation
Explanation: The correct answer is d. Abdominal pain and diarrhea. Abdominal pain and diarrhea are common clinical manifestations of immunodeficiency disorders. The weakened immune system makes the child more susceptible to gastrointestinal infections, leading to these symptoms.
Incorrect choices:
a. Rash and hives are more common clinical manifestations of allergic reactions or immune hypersensitivity disorders, not immunodeficiency disorders.
b. Rapid weight loss may be seen in conditions like malnutrition or metabolic disorders but is not a typical clinical manifestation of immunodeficiency disorders.
c. Excessive thirst and frequent urination are clinical manifestations of diabetes or other endocrine disorders, not immunodeficiency disorders.
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