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

Explanation: The correct answer is d. Immunoglobulin replacement therapy is a common treatment option for patients with primary immunodeficiency disorders. It involves infusing patients with immunoglobulins (antibodies) to help boost their immune response and protect against infections.

Incorrect choices:

a. Allergy shots are used to desensitize the immune system to specific allergens in individuals with allergies, not to treat primary immunodeficiency disorders.

b. Immunosuppressive medications are used to suppress the immune response in conditions such as autoimmune diseases or after organ transplantation, but they are not typically used to treat primary immunodeficiency disorders.

c. Blood transfusions may be used to treat anemia or certain blood disorders, but they are not a specific treatment for primary immunodeficiency disorders.

Explanation: The correct answer is d. Selective IgA deficiency. This disorder is characterized by a lack of immunoglobulin A, which can lead to an increased susceptibility to infections, particularly in the respiratory and gastrointestinal tracts.

Incorrect choices:

a. Selective IgM deficiency is a rare immunodeficiency disorder characterized by a lack of immunoglobulin M (IgM), not IgA.

b. X-linked agammaglobulinemia is a primary immunodeficiency disorder caused by a mutation in the BTK gene, resulting in a deficiency of B cells and immunoglobulins.

c. Common variable immunodeficiency (CVID) is a heterogeneous group of disorders characterized by decreased levels of immunoglobulins, including IgA, IgG, and IgM.