The primary care NP performs a physical examination on an 89-year-old patient who is about to enter a skilled nursing facility. The patient reports having had chickenpox as a child. The NP should:
a. obtain a varicella titer.
b. administer the Varivax vaccine.
c. give the patient the Zostavax vaccine.
d. plan to prescribe Zovirax if the patient is exposed to shingles.
C
The Advisory Committee on Immunization Practices has recommended that a single dose of herpes zoster vaccine (Zostavax) be given to adults 60 years of age or older. This is recommended whether or not the patient reports a prior episode of herpes zoster. Varivax is not recommended to prevent shingles.
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