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 C

Explanation

Explanation: The correct answer is c. "It's essential for me to receive all recommended vaccines, including live vaccines." Clients with primary immunodeficiency disorders should not receive live vaccines, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

Incorrect choices:

a. Avoiding contact with sick individuals is crucial for clients with primary immunodeficiency disorders to minimize the risk of acquiring infections.

b. Taking prescribed immunoglobulin therapy as scheduled is an important treatment for clients with primary immunodeficiency disorders to boost their immune response and prevent infections.

d. Reporting any signs of infection or illness promptly to the healthcare provider is essential for early detection and treatment of infections in clients with primary immunodeficiency disorders.

A. "I should avoid contact with individuals who have colds or other infections." B. "I will make sure to get all the live vaccines recommended for my age." C. "I need to practice good hand hygiene and wash my hands frequently." D. "I will inform my healthcare provider if I develop any signs of infection."

Correct Answer is B

Explanation

Explanation: The correct answer is b. "I will make sure to get all the live vaccines recommended for my age." Clients with immunodeficiency disorders should not receive live vaccines, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

Incorrect choices:

a. Avoiding contact with individuals who have colds or other infections is essential for clients with immunodeficiency disorders, as they are at a higher risk of acquiring infections.

c. Practicing good hand hygiene and washing hands frequently are essential infection prevention measures for clients with immunodeficiency disorders.

d. Informing the healthcare provider if any signs of infection develop is crucial for early detection and treatment of infections in clients with immunodeficiency disorders.

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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

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

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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