A 70-year-old client being admitted to a skilled nursing unit tells the interviewing nurse that he cannot remember anyone ever suggesting that he receive the pneumococcal vaccine. Which of the following interventions should the nurse implement?
1. During the admission interview, educate the client on the benefits of the vaccination in preventing pneumococcal meningitis.
2. Tell the client that while the risk of developing pneumococcal meningitis is low, he should consider the vaccination.
3. Inform the health care provider that the client needs to be informed regarding vaccination against pneumococcal meningitis.
4. Offer to provide the client with written information regarding the risks and benefits of the pneumococcal vaccine.
During the admission interview, educate the client on the benefits of the vaccination in preventing pneumococcal meningitis.
Rationale: For patients older than 65 years of age, the pneumococcal vaccine should be considered due to the increased risk of pneumococcal meningitis among that population. With the increased risk, the need for the vaccination should be stressed through direct client education, not by written material only. The need to educate the client should not be deferred to the health care provider.
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