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. Immunoglobulin levels. Immunoglobulin levels, specifically IgG, IgM, and IgA, are commonly measured to assess immune function and identify deficiencies in immunoglobulin production. Abnormalities in immunoglobulin levels can indicate the presence of an immunodeficiency disorder.

Incorrect choices:

a. A complete blood count (CBC) provides information about various blood components, such as red blood cells, white blood cells, and platelets, but it does not specifically assess immune function.

b. A chest X-ray may be used to evaluate the condition of the lungs and detect infections, but it is not a specific test for immunodeficiency disorders.

c. Allergy skin testing is used to diagnose allergies and assess the body's response to allergens, but it is not a diagnostic test for immunodeficiency disorders.

A. "I will avoid crowded places and large gatherings." B. "I need to clean and disinfect frequently touched surfaces in my home regularly." C. "I should avoid close contact with pets to reduce the risk of infections." D. "I will wear a mask when visiting the hospital or healthcare settings."

Correct Answer is C

Explanation

Explanation: The correct answer is c. "I should avoid close contact with pets to reduce the risk of infections." While it is essential to practice good hygiene when handling pets, avoiding close contact with pets is not typically necessary for clients with immunodeficiency disorders unless they have a specific allergy or pet-related infection.

Incorrect choices:

a. Avoiding crowded places and large gatherings is important for clients with immunodeficiency disorders, as it helps reduce the risk of exposure to infections.

b. Cleaning and disinfecting frequently touched surfaces in the home regularly can help prevent the transmission of infections in clients with immunodeficiency disorders.

d. Wearing a mask when visiting the hospital or healthcare settings is a standard infection prevention measure for clients with immunodeficiency disorders to reduce the risk of acquiring infections from others.

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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 diagnostic tests is commonly used to assess immune function in individuals suspected of having an immunodeficiency disorder?

Correct Answer is D

Explanation

The nurse is educating a client with an immunodeficiency disorder about infection prevention. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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

The nurse is caring for a client with an immunodeficiency disorder. Which intervention is appropriate for the management and treatment of this condition?

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?

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)?

Which type of immunodeficiency disorder is characterized by a lack of T cell function and is often referred to as "bubble boy disease"?

The nurse is providing education to a client with an immunodeficiency disorder. Which statement by the client indicates a need for further teaching?

Which of the following clinical manifestations is a common symptom of primary immunodeficiency disorders?