A client's medical history reveals vaccination with bacillus Calmette-Guérin (BCG) vaccine. The nurse is aware that this client has possibly had which condition?
Standard Text: Select all that apply.
1. Exposure to tuberculosis
2. Cervical cancer
3. Bladder cancer
4. Active tuberculosis
5. Hashimoto's thyroiditis
Correct Answer: 1,3
Rationale 1: BCG is used to stimulate immunity against Mycobacterium tuberculosis.
Rationale 2: BCG is not given to treat cervical cancer.
Rationale 3: A form of BCG is used to treat cancer of the bladder.
Rationale 4: BCG is not given to treat active tuberculosis.
Rationale 5: BCG is not given to treat Hashimoto's thyroiditis.
Global Rationale: BCG vaccine is a live, attenuated vaccine that is available in two distinct strains with different indications. Tice is used to stimulate immunity against Mycobacterium tuberculosis. Vaccination with BCG simulates exposure to tuberculosis and induces an immune response against the organism. This drug is used to prevent tuberculosis and is not given to treat active infections. TheraCys is approved for the prophylaxis and treatment of patients with superficial bladder cancer. It is not indicated as treatment for cervical cancer, active tuberculosis, or Hashimoto's thyroiditis.
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