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: Ken Thomas (DOB 10/25/61) saw Jean Burke N.P. before leaving on a week-long trip out of the country. He is leaving in 3 days and wants a hepatitis A vaccine injection. The area he is traveling to has a high risk for hepatitis A. Jean Burke orders immunoglobulin for Ken, which will provide immediate protection against hepatitis A. You prepare the injection and enter the exam room. As you are telling Ken about the side effects of the medication, he asks, “What is immunoglobulin?” You reply that it is a sterile medication made of antibodies from blood. Ken states that he is a Jehovah’s Witness and cannot receive blood products.

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