The nurse is caring for a client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?

Explanation: The correct answer is b. Genetic or inherited defects. Immunodeficiency disorders are primarily caused by genetic mutations or defects that result in a weakened or impaired immune system.

Incorrect choices:

a. While environmental factors can contribute to the development of secondary immunodeficiency disorders, they are not the primary cause of most immunodeficiency disorders.

c. Autoimmune reactions are not the primary cause of immunodeficiency disorders. Autoimmune disorders involve the immune system attacking the body's own tissues, not a deficiency in the immune system.

d. Excessive production of white blood cells is not the primary cause of immunodeficiency disorders. In fact, immunodeficiency disorders are characterized by a deficiency or impairment of white blood cells, which are essential components of the immune system.

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.