A nurse is caring for a 26-year-old client recently diagnosed with human immunodeficiency virus (HIV) and has a CD4 count of 150. The client needs an update on immunizations and asks which ones are needed. Which vaccines are required to comply with the recommended immunization schedule for a client with HIV?

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Complete Question:

A nurse is caring for a 26-year-old client recently diagnosed with human immunodeficiency virus (HIV) and has a CD4 count of 150. The client needs an update on immunizations and asks which ones are needed. Which vaccines are required to comply with the recommended immunization schedule for a client with HIV?

a. Influenza; measles, mumps, rubella (MMR); varicella; and hepatitis A vaccines .

b. Pneumococcal, MMR, influenza, and varicella vaccines .

c. Diphtheria, tetanus, hepatitis A, and hepatitis C vaccines .

d. Tetanus, hepatitis B, influenza, and pneumococcal vaccines.

Correct Option:

Tetanus, hepatitis B, influenza, and pneumococcal vaccines are required to comply with the recommended immunization schedule for a client with HIV.

Option: D

Explanation:

  • Human immunodeficiency virus (HIV) is responsible for killing the WBC (white blood cells) that battle infection, as this virus destroys the immune system, which can follow  certain cancers.
  • While AIDS (acquired immune deficiency syndrome) is the last stage of HIV infection.
  • In contrast to influenza vaccine delivery that avoids both viral and bacterial pneumonia, Streptococcus pneumoniae vaccination is suggested. The risk of invasive pneumococcal illness is strong for HIV-infected people.
  • HIV patients obviously recover from influenza vaccination, the reaction of antibodies to seasonal flu vaccination is usually lower than among HIV-uninfected people.