An adult client is receiving hepatitis B (Engerix-B) injections. The nurse anticipates that the client will receive these injections on which schedule?
1. The first dose at age 11 or 12 years, the second dose 2 months after the first dose, and the third dose 6 months after the first dose
2. First dose followed by a booster 6–12 months later
3. Single annual dose
4. Three doses, with the second dose 30 days after the first and the final dose 6 months after the first
Correct Answer: 3
Rationale 1: This is the schedule for human papillomavirus (Gardasil) for females.
Rationale 2: This is the dosing schedule for hepatitis A.
Rationale 3: This is the schedule for influenza vaccine.
Rationale 4: Hepatitis B vaccine should be administered as three doses, with the second dose 30 days after the first and the final dose 6 months after the first.
Global Rationale: Hepatitis B vaccine should be administered as three doses, with the second dose 30 days after the first and the final dose 6 months after the first. The first dose at age 11 or 12 years, the second dose 2 months after the first dose, and the third dose 6 months after the first dose is incorrect because this is theschedule for the human papillomavirus (Gardasil) for females. First dose followed by a booster 6—12 months later is incorrect because this is the dosing schedule for hepatitis A. Single annual dose is incorrect because this is the schedule for influenza vaccine.
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