A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he should take the vaccination to prevent shingles. What would be the nurse's most helpful response?
a. "No. Persons with impaired immune systems should not take that vaccine."
b. "Yes. It would be a good idea to protect yourself from shingles."
c. "No. That vaccine is only effective in about 10% of the cases."
d. "Yes. The vaccine is very inexpensive and very effective."
ANS: A
The shingles vaccine should not be given to anyone with an impaired immune system. Corticosteroids impair the immune system. The vaccine is very expensive and is only effective in about 50% of the cases.
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