Which of the following clients at the clinic should be encouraged to receive the pneumococcal polysaccharide vaccine (PPSV23)? A client: Select all that apply
A) Who is 65 years old with chronic asthma
B) With a smoking history
C) Who is a young adult with HIV-positive results
D) Who is school-aged and has received a liver transplant
E) Who is a teenager with history of kidney disease
Ans: A, B
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The PPSV23 vaccine consists of the 23 most common capsular serotypes that cause the most common invasive pneumococcal disease. It is recommended for all adults 65 years of age and older and for those 2 years of age and older who are at high risk for the disease. It is also recommended for adults who smoke or have asthma. The PCV13 protects against 13 types of pneumococcal bacteria. It is recommended for use in infants and young children and for all adults 50 years of age and older who have conditions that weaken the immune system such as HIV infection, organ transplantation, leukemia, lymphoma, and severe kidney disease.
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