The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
Require that the child have antibiotic coverage.
Should be delayed.
Can interfere with the treatment for nephrosis.
Can be given in smaller, divided doses.
The Correct Answer is B
A. Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage.
B. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered.
C. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment.
D. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.
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Related Questions
Correct Answer is B
Explanation
A. Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage.
B. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered.
C. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment.
D. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.
Correct Answer is C
Explanation
A. Take the prescribed insulin 30 minutes before practice or game time rather than in the morning. Insulin timing should generally be consistent with meal times to match insulin action with food intake. Adjusting timing without medical advice can lead to imbalanced blood sugar levels.
B. Eat half the amount of food normally eaten at lunchtime. Eating less food than usual can lead to hypoglycemia during prolonged physical activity and is not recommended.
C. Eat six graham crackers or drink a cup of orange juice before practice or game time. This action helps to prevent hypoglycemia during physical activity by providing quick-acting carbohydrates that can be readily absorbed and utilized by the body.
D. Take two times the amount of prescribed insulin on practice and game days. Doubling insulin doses without medical supervision can lead to hypoglycemia and is not appropriate for managing blood sugar during physical activity.
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