The nurse is caring for a 35-year-old woman who came to her gynecologist today to receive a Gardasil injection
The patient says she is sexually active since age 14, admitting to more than 10 sexual partners, and has used oral birth control as a contraceptive because "I don't like using barrier methods." The provider tells the patient she is not a good candidate for the injection and the patient asks the nurse why. What is the nurse's best response? A) "Gardasil is only given to women between the ages of 9 and 26 years of age."
B) "The drug is only effective if administered before exposure to human papillomavirus (HPV)."
C) "The drug cannot be administered to a woman who is sexually active."
D) "The drug cannot be administered until further Food and Drug Administration (FDA) testing has been completed."
B
Feedback:
This patient is not a candidate for Gardasil primarily because she has most likely already been exposed to HPV and there would be no benefit to the injection. Gardasil is a vaccine that needs to be administered before exposure to be effective. Although the drug is normally given to women aged 9 to 26 years old, it could be given to an older person who has not become sexually active yet. Although sexual activity would not preclude administering the injection to a young girl who has had only one sexual partner, multiple partners increase the likelihood of exposure to HPV. The FDA continues to monitor testing related to the need for booster shots and the length of time the immunity remains active, as well as long-term adverse effects of the drug but the drug is available to the public by prescription.
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