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 D

Explanation

Explanation: The correct answer is d. Immunodeficiency disorders can be caused by medications or medical treatments. Immunodeficiency disorders are conditions in which the immune system is weakened or dysfunctional, leading to an increased susceptibility to infections. They can be primary (genetic) or secondary (acquired). Secondary immunodeficiency disorders can be caused by various factors, including medications (e.g., immunosuppressive drugs used after organ transplants), medical treatments (e.g., chemotherapy for cancer), and certain diseases (e.g., HIV/AIDS).

Incorrect choices:

a. Immunodeficiency disorders are characterized by a weakened immune system, not an overactive one. Overactive immune responses are seen in autoimmune disorders.

b. Immunodeficiency disorders can be both primary (genetic) and secondary (acquired) in nature. While some immunodeficiencies are genetic, others can be acquired later in life due to various factors.

c. Immunodeficiency disorders result in a decreased ability to fight infections, not an increased one. Individuals with immunodeficiencies are more susceptible to infections and may experience recurrent or severe infections.

A. Encourage the client to engage in vigorous physical activities to strengthen the immune system. B. Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting. C. Administer live vaccines to boost the client's immune response. D. Encourage the client to eat a diet high in fresh fruits and vegetables to improve immune function.

Correct Answer is B

Explanation

Explanation: The correct answer is b. Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting. Clients with immunodeficiency disorders are at a higher risk of infections due to their weakened immune system. Restricting exposure to potential sources of infection, such as visitors and other sick clients, can help minimize the risk of acquiring infections.

Incorrect choices:

a. Engaging in vigorous physical activities may not be appropriate for clients with immunodeficiency disorders, as it can lead to an increased risk of infections and may not strengthen the immune system in these individuals.

c. Live vaccines are contraindicated for clients with immunodeficiency disorders, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

d. While a healthy diet is essential for overall well-being, there is no specific evidence to suggest that a diet high in fresh fruits and vegetables will improve immune function in clients with immunodeficiency disorders. Dietary considerations for these clients may include avoiding certain high-risk foods, but it should be discussed with the healthcare provider based on the specific immunodeficiency disorder.

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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

Which of the following statements is correct regarding immunodeficiency disorders?

Correct Answer is D

Explanation

The nurse is caring for a client with immunodeficiency disorder. Which nursing intervention should be included in the care plan?

Correct Answer is B

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?

A nurse is caring for a client with immunodeficiency disorder. Which of the following interventions is essential for the nurse to implement?

How are primary immunodeficiency disorders different from secondary immunodeficiency disorders?

The nurse is assisting with a bone marrow aspiration for a client with suspected immunodeficiency disorder. Which information should the nurse provide to the client regarding this procedure?

Which of the following is a potential complication of primary immunodeficiency disorders?

Which of the following is a characteristic of primary immunodeficiency disorders?

The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which intervention should the nurse include in the client's plan of care?

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