After reviewing the medical history, the nurse suspects that a 68-year-old patient would benefit from another dose of the pneumococcus vaccination. What information did the nurse use to make this clinical decision?
Select all that apply.
1. Initial vaccination at age 55
2. Taking medications for hypertension
3. Ongoing treatment for prostate cancer
4. History of two hip replacement surgeries
5. Beginning dialysis for chronic renal failure
Correct Answer: 1, 3, 5
Pneumococcal vaccine, made of antigens from 23 types of pneumococcus, usually imparts lifetime immunity with a single dose. A one-time revaccination is recommended for selected populations, including people over age 65 that were immunized more than 5 years previously and before age 65, people with chronic renal failure or immunosuppressive conditions such as cancer. Treatment for hypertension and joint replacement surgery do not increase this patient's risk of developing pneumonia.
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