A 4 1/2-Year-Old Child Who Has Been Receiving High-Dose Systemic

question 5

Multiple Choice

A 4 1/2-year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for school immunizations, which usually include the DTaP vaccine; varicella virus vaccine (Varivax) ; the measles, mumps, and rubella virus (MMR) vaccine; and the inactivated poliovirus vaccine (IPV) . The clinic nurse will expect to administer which vaccines to this child?

• A) All four school immunizations
• B) DTaP and IPV only
• C) DTaP, OPV, and Varivax only
• D) DTaP and IPV, along with immunoglobulins

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Definitions:

Oligodendrocyte

A type of glial cell in the central nervous system that produces myelin, a substance that insulates nerve fibers to enhance signal transmission.

Myelin Sheath

A layer of protective insulation that covers nerve fibers, enhancing the speed and efficiency of electrical signal transmission along the nervous system.

CNS

Central Nervous System, comprised of the brain and spinal cord, responsible for processing and coordinating sensory information and motor commands.

PNS

Stands for Peripheral Nervous System, which includes all the nerves outside of the brain and spinal cord.