The population health nurse is reviewing immunization records for a group of community members. For which clients should the nurse recommend an updated tetanus vaccination? (Select all that apply.)
1. Over the age of 65.
2. Smokes 1 ppd of cigarettes.
3. History of using injection drugs.
4. Being treated for type 2 diabetes.
5. Recovering from pacemaker insertion.
Answer: 1, 3, 4
Explanation: 1. Updated tetanus vaccination is particularly recommended for persons with diabetes, injection drug users (IDUs), and those over 65 years of age, who may never have been immunized. Smoking history and pacemaker insertion does not increase the risk of tetanus.
3. Updated tetanus vaccination is particularly recommended for persons with diabetes, injection drug users (IDUs), and those over 65 years of age, who may never have been immunized. Smoking history and pacemaker insertion does not increase the risk of tetanus.
4. Updated tetanus vaccination is particularly recommended for persons with diabetes, injection drug users (IDUs), and those over 65 years of age, who may never have been immunized. Smoking history and pacemaker insertion does not increase the risk of tetanus.
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