The 28-year-old client has a deep puncture wound on his foot from stepping on a nail. When the nurse prepares to give him a tetanus toxoid vaccination, he says he does not need another tetanus shot because he had a tetanus shot just 1 year ago
What is the nurse's best response? A. "You need this vaccination because the strain of tetanus changes every year."
B. "I will check with the doctor. You probably do not need another vaccination now."
C. "Because antibody production slows down as you age, it is better to take this vaccination as a booster to the one you had a year ago."
D. "Tetanus is a more serious disease among younger people because it can be spread to others by sexual transmission, so it is best to take this vaccination now."
B
When people have been "boosting" their tetanus antibodies on a regularly scheduled basis, they should have sufficient circulating antibodies to mount a defense against exposure to tetanus. If this client's medical records substantiate that he did indeed receive a tetanus toxoid booster 1 year ago, he does not need another one now.
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