The nurse is explaining to an adolescent the rationale for administering a Tdap (tetanus, diphtheria, acellular pertussis) vaccine 3 years after the last Td (tetanus) booster. What should the nurse tell the adolescent?
a. "It is time for a booster vaccine."
b. "It is past the time for a booster vaccine."
c. "This vaccine will provide pertussis immunity."
d. "This vaccine will be the last booster you will need."
ANS: C
When the Tdap is used as a booster dose, it may be administered earlier than the previous 5-year interval to provide adequate pertussis immunity (regardless of interval from the last Td dose). It is not time or past time for a booster because they are required every 5 years. Another booster will be needed in 5 years, so it is not the last dose.
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