A 68-year-old man is admitted to the medical-surgical unit for management of a mild upper respiratory infection with a low-grade fever. His history includes type 2 diabetes and hypertension, and he was started on a new daily oral antihypertensive medication this morning. He has no known drug allergies. His immunization record shows he received the pneumococcal vaccine 6 years ago but has never received the shingles (recombinant zoster) vaccine, and his last influenza vaccine was over a year ago. Vital signs are temperature 37.8°C (100°F), heart rate 88/min, respiratory rate 18/min, blood pressure 138/84 mmHg, and oxygen saturation 96% on room air. The LPN is reviewing his immunization status as part of the admission database review. Which action should the nurse take regarding the client’s immunization status?
- Tell the client he cannot receive any vaccines until his mild respiratory illness fully resolves.
- Report to the RN that the client is due for influenza and shingles vaccines per the current schedule.
- Advise the client that at his age no further vaccines are needed since he had pneumococcal vaccine before.
- Suggest the client research vaccine timing on health forums before deciding what to get.