An LPN is caring for a 78-year-old man on a medical-surgical unit who is on contact precautions for a wound infection. He is scheduled for his annual influenza vaccine and is due for the pneumococcal (PPSV23) vaccine per his immunization record. His history includes type 2 diabetes and a penicillin allergy; he takes metformin daily. He reports feeling "a little tired" but denies fever. Vital signs are temperature 37.2°C (99°F), heart rate 88/min, respirations 18/min, blood pressure 132/78 mm Hg, and oxygen saturation 97% on room air. Which action should the nurse take?
- Tell the client to stay in bed and delay vaccines until his fatigue resolves completely.
- Administer the influenza and pneumococcal vaccines as scheduled since findings show no true contraindication.
- Advise the client to research vaccine safety on an online health forum before deciding.
- Withhold both vaccines today because the client is on contact precautions for infection.