The nurse is caring for a client suspected of having a primary immunodeficiency disorder. Which laboratory test should the nurse anticipate being prescribed for the client?a. Enzyme-linked immunosorbent assay (ELIS

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.

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.