The nurse is caring for an elderly client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?
Impaired balance and coordination
Recurrent skin infections
Vision changes and blindness
Hearing loss
The Correct Answer is B
Explanation: The correct answer is b. Recurrent skin infections. Recurrent skin infections are common clinical manifestations of immunodeficiency disorders in the elderly. The weakened immune system makes the skin more susceptible to infections and delays wound healing.
Incorrect choices:
a. Impaired balance and coordination are more commonly associated with neurological disorders or conditions affecting the musculoskeletal system, not immunodeficiency disorders.
c. Vision changes and blindness may be seen in conditions affecting the eyes or the visual system but are not typical clinical manifestations of immunodeficiency disorders.
d. Hearing loss is more commonly associated with conditions affecting the ears or the auditory system and is not a typical clinical manifestation of immunodeficiency disorders.
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Correct Answer is C
Explanation
Explanation: The correct answer is c. Common variable immunodeficiency (CVID) is characterized by a deficiency or absence of B cells, leading to a reduced ability to produce antibodies and an increased susceptibility to infections.
Incorrect choices:
a. DiGeorge syndrome is a disorder caused by a genetic defect resulting in the underdevelopment of the thymus and parathyroid glands, leading to T cell deficiency.
b. Severe combined immunodeficiency (SCID) is a severe form of immunodeficiency that affects both B and T cells, leading to a complete absence or dysfunction of the immune system.
d. Wiskott-Aldrich syndrome is a rare X-linked genetic disorder characterized by a triad of symptoms, including eczema, low platelet count, and immunodeficiency. It primarily affects T cells and platelets, not B cells.
Correct Answer is D
Explanation
Explanation: The correct answer is d. Flow cytometry for lymphocyte subsets. Flow cytometry is a diagnostic test used to analyze the quantity and types of lymphocytes in the blood, which helps identify abnormalities in the immune system and diagnose immunodeficiency disorders.
Incorrect choices:
a. A complete blood count (CBC) provides general information about the client's overall blood cell counts, but it does not specifically diagnose immunodeficiency disorders.
b. Urinalysis is used to assess kidney function and identify urinary tract infections but is not a specific test for diagnosing immunodeficiency disorders.
c. Skin testing for allergies is performed to identify allergic reactions to specific allergens and is not used to diagnose immunodeficiency disorders.
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