A 70-year-old patient had a pneumonia vaccination ten years ago. Which of the following would be indicated for this patient?
1. receive a vaccination annually after September
2. a booster pneumonia vaccination
3. nothing because this patient has been immunized
4. nothing unless the patient has altered renal functioning
2
Rationale: The pneumonia vaccination should be provided to those who are age 65 or older. If a person received the pneumonia vaccination before age 65, then a booster should be provided 5 years after the initial vaccination. Since this patient is currently 70 years old and had the initial vaccination 10 years ago, the pneumonia booster should be provided. Pneumonia vaccinations are not provided annually after September. The patient should have a booster. Doing nothing or waiting until the patient has a diagnosis of altered renal functioning would not be appropriate.
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