The nurse has instructed an older client on ways to prevent the recurrence of pneumonia. Which client statement best indicates teaching was successful?
1. "I will get the influenza vaccine every year before February."
2. "Antivirals work best within one to two days of getting the flu virus."
3. "My allergy to eggs means I have to be monitored after I get any vaccination."
4. "I will get the pneumococcal vaccine before I am discharged from the hospital."
2. "Antivirals work best within one to two days of getting the flu virus."
Explanation: 1. The influenza vaccine should also be received yearly in people who are at risk for pneumonia. Though the vaccine can be given at any time, it is most effective when given in early fall, around September.
2. If the client suspects the flu, antiviral medications can shorten the illness course if they are given with the first signs of infection and within 48 hours of symptom onset.
3. In those with severe egg allergies, flu vaccination in a medical setting with supervision is recommended. For those with mild egg allergies, monitoring is not required after the flu vaccine. Egg allergies are not relevant to all vaccinations.
4. The client should receive the pneumococcal vaccination when they are well, usually after one week of anti-infective therapy. If the risk for compliance is low, health care providers may offer the pneumococcal vaccine as the client is being discharged, even though they are likely continuing an oral anti-infective course of treatment at home.
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