A patient is scheduled to take the pneumonia vaccination. She has developed nasal congestion and started taking a topical intranasal steroid. What might the nurse expect the physician to tell the patient?
a. Stop taking the intranasal steroid.
b. Decrease the use of the intranasal steroid.
c. Do not take the pneumonia vaccination.
d. There is no effect from the two used together.
ANS: C
The patient receiving topical intranasal steroids should not be given vaccinations and immunizations because the immunologic response may be decreased.
You might also like to view...
The nurse recognizes that the primary effect of pregnancy on a woman with a preexisting heart disease is:
a. The shunting of blood to the fetus reduces the mother's cardiac workload. b. Increased renal blood flow, which promotes elimination of excess fluid. c. Decreased venous return, which decreases blood pressure. d. The workload of the heart is greatly increased.
Paraplegia is paralysis and loss of sensory function:
a. In the arms b. In the legs c. From the chest up d. From the neck down
The health care provider prescribes hydrochlorothiazide (HCTZ) for a client in chronic renal failure. The nurse suspects the client is experiencing an ineffective response to the medication
Which clinical manifestation would be the most significant? 1. Hyponatremia 2. Excessive skin moisture 3. Rales 4. Hypertension
Which of the following statements about migrant farm workers is false?
1. Housing for migrant farm workers is usually substandard and crowded. 2. Migrant farm workers usually have their permanent residence in one of the border states (California, Texas, Arizona), Puerto Rico, or Mexico. 3. Most migrant farm workers are multigenerational and their families have been farm workers for several generations. 4. The income for migrant farm workers is near the poverty level, and most earn more than $10,000 per year.