The nurse is counseling an elderly couple and encourages both of them to receive the pneumococcal vaccine. The nurse would understand that further teaching is necessary if which of the following statements was made by one of the clients?

1. "We will need to get vaccinated each year.".
2. "The vaccine is recommended for us because we are both over the age of 65.".
3. "The vaccine does not protect us against all types of pneumonia.".
4. "We should get the influenza vaccine and the pneumonia vaccine.".


1
Rationale 1: Although it was originally considered that the vaccine would give once-a-lifetime immunization, the Centers for Disease Control and Prevention now recommends that boosters be given to those people who received their initial immunization more than 5 years ago. It is not administered each year. People should receive the influenza vaccine each year.
Rationale 2: The pneumonia vaccine is recommended for clients over the age of 65.
Rationale 3: The vaccine protects against 23 types of infections that cause 85% to 90% of all cases of pneumonia in the United States.
Rationale 4: It is important for the older adult to obtain vaccinations against influenza and pneumonia. These two diseases together constitute the fourth leading cause of death in people older than 65 years.

Nursing

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