Rosenthal: Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants, 2nd Edition
Unit 13: Antiinflammatory, Antiallergic, and Immunologic Drugs
Case Study With Answers
Zhen is a 14-year-old Chinese female who presents for a well child check. She has no contributory past medical history. She currently is taking no medications. She has no known drug allergies. Her parents are alive and deny illness. Her mother inquires if her immunizations are current.
1. The prescriber reviews Zhen’s immunization record against
a. the CDC’s immunization schedule from last year.
b. this textbook.
c. a reference from their professional organization.
d. the CDC’s immunization schedule was updated this year.
2. If a live, attenuated vaccine is indicated for administration today the patient and parents should be advised
a. that Zhen should avoid contact with immunocompromised individuals.
b. that no special precautions are necessary.
c. that the vaccine poses no risk to immunocompromised individuals.
d. that the vaccine cannot cause illness in others.
3. A review of Zhen’s immunization record indicates that she did not receive the human papillomavirus vaccine earlier. The prescriber has a 9-valent HPV vaccine on hand. Patient education should include:
a. that the vaccine is a single, one-time dose.
b. that the vaccine reduces the risk of the most common HPV infections that cause cervical cancers as well as genital warts.
c. that there are no known side effects of the vaccine.
d. that this vaccine is only given to females.