1) Immunizations: Reinforcing Teaching With a Middle Adult Client

A. Varicella vaccine: Administer two doses to adults who do not have

evidence of immunity. Administer a second dose to adults who had only

one previous dose and lack evidence of immunity, or one dose depending

on the type of zoster vaccine.

B. Zoster vaccine: A 2-dose series is recommended for adults 50 years and

older. Second doses should be administered 2 to 6 months after the first

C. Meningococcal unconjugated polysaccharide vaccine (MPSV4): MPSV4

is preferred for adults who are 56 years of age or older, require a single

dose, and have not had MCV4 previously. Reimmunization with MCV4 is

recommended every 5 years for adults who remain at high risk for

infection and were previously immunized with MCV4 or MPSV4

Psychosocial integrity-Chemical and Other Dependencies (1 item)

1) Substance Use Disorders: Smoking Cessation

A. Bupropion decreases nicotine craving and manifestations of withdrawal.

Avoid use in clients who have an increased risk for seizures. To treat dry