For which groups of clients would the community nurse recommend vaccination for hepatitis B?
Standard Text: Select all that apply.
1. All infants
2. Sexually active people in a monogamous relationship
3. IV drug abusers
4. Homosexual males
5. Persons with end-stage renal disease
Correct Answer: 1,3,4,5
Rationale 1: All infants, beginning at birth, should be vaccinated against hepatitis B.
Rationale 2: Sexually active people who are not in a monogamous relationship should be vaccinated against hepatitis B.
Rationale 3: IV drug abusers should be vaccinated against hepatitis B.
Rationale 4: Males who engage in sexual relations with other males should be vaccinated against hepatitis B.
Rationale 5: Persons on dialysis are at increased risk.
Global Rationale: All infants, those persons receiving dialysis, IV drug abusers, and men who have sex with men should all have vaccination against hepatitis B. Those in long term mutually monogamous sexual relationships are at minimal risk.
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