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RN Nursing · Health Promotion and Disease Prevention · Practice question

A nurse is presenting healthy living information to a group of older adults. Which of the following vaccines should the nurse recommend?

Answer & explanation

Correct: Zoster

Vaccine recommendations are age-specific, and the nurse must match the appropriate vaccine to the population being served. The zoster (shingles) vaccine is recommended for adults aged 50 years and older, making it the most appropriate recommendation for a group of older adults. Shingles results from reactivation of the varicella-zoster virus, and the risk of reactivation and its serious complication of postherpetic neuralgia increases significantly with age and immunosenescence. The current recombinant zoster vaccine (Shingrix) is recommended as a two-dose series and provides strong protective immunity. Rotavirus vaccine is indicated for infants, typically given as a series starting at 2 months of age, and has no role in adult vaccination programs. Human papillomavirus (HPV) vaccine is recommended for preteens and young adults up to age 26 as a routine schedule, with shared decision-making for adults aged 27 to 45; it is not indicated for older adults because cumulative HPV exposure over a lifetime makes the vaccine far less beneficial in this age group. Inactivated poliovirus vaccine is part of the childhood immunization series and is not routinely recommended for adults in the United States unless travel or occupational risk factors apply. The zoster vaccine is therefore the single most appropriate recommendation for a group of older adults.

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