A patient taking long-term corticosteroids has a prescription for a live vaccine. Which action should the nurse take?
Correct answer: B. Check the prescription with the prescriber
- A. Administer it immediately after breakfast
- B. Check the prescription with the prescriber
- C. Give an extra corticosteroid dose first
- D. Replace it with an insulin injection
Explanation
Long-term or high-dose corticosteroid therapy can suppress immunity, making live vaccines unsafe or less effective. The nurse should clarify the prescription rather than administering the vaccine without checking the patient's treatment and immune status.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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