When reviewing the history of a child with suspected primary immunodeficiency, which of the following would the nurse be least likely to find?
A) Weight appropriate for height
B) Antibiotic therapy for the past 3 months without effect
C) 10 episodes of otitis media in the last year
D) Three bouts of sinusitis within a year's time
A
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Weight appropriate for height would not be associated with primary immunodeficiency. Rather, failure to thrive is considered a warning sign. Other warning signs of primary immunodeficiency include eight or more episodes of acute otitis media in 1 year; two or more episodes of severe sinusitis in 1 year; treatment with antibiotics for 2 months or longer with little effect; two or more episodes of pneumonia in 1 year; recurrent deep skin or organ abscesses; persistent oral thrush or skin candidiasis after age 1 year; history of infections that do not clear with antibiotics; two or more serious infections; and a family history of primary immunodeficiency.
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