After years of going to different physicians with vague symptoms, a 55-year-old client with a history of Hodgkin disease has been diagnosed with a secondary immunodeficiency syndrome
The client asks the nurse what this means. The nurse knows from the following list of characteristics that secondary immunodeficiency disorders: Select all that apply.
A)
may be inherited as a sex-linked trait.
B)
usually develop later in life.
C)
may be a result of chemotherapy being used to treat a cancer.
D)
can result from frequent recurring Staphylococcus aureus infections.
E)
can occur in a chronic obstructive pulmonary disease patient taking corticosteroids daily.
Ans:
B, C, E
Feedback:
Secondary immunodeficiency disorders develop later in life as a result of other pathophysiologic states such as malnutrition, disseminated cancers, infection of the cells of the immune system, and treatment with immunosuppressive drugs, such as chemotherapeutic agents. Primary disorders may be congenital or inherited as sex-linked, autosomal dominant, or autosomal recessive traits. Humoral (B-cell) immunodeficiencies are primarily associated with recurrent infections like Staphylococcus aureus.
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