# 將每個成人疫苗接種情境拖曳至最適當的計畫類別。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=395453&lang=zh-tw > language: zh-TW > subject: Lifestyle Choices > category: HPM ## 題目 將每個成人疫苗接種情境拖曳至最適當的計畫類別。 **1.** 52歲個案無肺炎鏈球菌疫苗接種紀錄 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **2.** 52歲個案去年曾患帶狀疱疹，但從未接種重組帶狀疱疹疫苗 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **3.** 33歲個案於本季尚未接種流感疫苗 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **4.** 41歲個案詢問是否應完成HPV疫苗系列接種 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **5.** 62歲糖尿病個案詢問關於開始接種B型肝炎疫苗 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **6.** 68歲慢性心衰竭個案詢問關於首次接種RSV疫苗 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **7.** 29歲懷孕個案已到接種下一劑HPV疫苗的時間 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making **8.** 需接受常規疫苗接種的成人個案目前有中度急性疾病合併發燒 Select a category Recommend vaccination at this visit Defer or evaluate before vaccination Use shared or individualized clinical decision-making ## 解析 成人需要每年接種流感疫苗、50歲起接種重組帶狀疱疹疫苗，以及先前未接種或接種紀錄不明時50歲起接種肺炎鏈球菌疫苗。50至74歲且患有慢性心衰竭的未接種成人，其嚴重RSV疾病風險增加，應接種一劑RSV疫苗。27至45歲的HPV疫苗接種及60歲以上部分成人的B型肝炎疫苗接種採用共同臨床決策。懷孕期間應延後HPV疫苗接種，而中度或重度急性疾病屬於注意事項，需進行評估或延後接種。 ## 深入解析 快速解答 以年齡和病史作為常規建議依據，以風險和個案偏好作為共同決策依據，以懷孕或顯著急性疾病作為延後或評估依據。 為何此為正確 成人疫苗時程結合了普遍性的年齡建議、基於疾病的適應症、共同臨床決策、禁忌症與注意事項。錯過接種間隔通常不需要重新開始疫苗系列接種。 NCLEX決策規則 在每次機會評估疫苗接種狀態，清楚提出建議，篩檢禁忌症與注意事項，並使用最新時程而非僅憑記憶。References 1CDC Adult Immunization Schedule by Age 2CDC Adult Immunization Schedule Notes 3CDC Contraindications and Precautions ## 臨床情境 預防性照護就診 診所使用最新的CDC成人疫苗接種時程，並在接種前確認紀錄、醫療狀況、懷孕狀態、禁忌症及產品供應狀況。除非另有說明，否則假設無過敏或先前接種紀錄。 ## 重要概念 - **共同臨床決策** — 基於風險、潛在效益、偏好及臨床人員討論的個別化疫苗決策，而非普遍性建議。 - **禁忌症** — 大幅增加嚴重危害風險的狀況，通常意味著不應接種該疫苗。 - **注意事項** — 可能增加風險或降低反應的狀況，需權衡效益、風險、時機或延後接種。 ## 相同主題題目 - [A client who smokes says, “I know smoking worsens my breathing, and part of me wants to qu…](https://mymerci.kr/pages/nclex_q.php?qn_id=393389&lang=zh-tw) - [A pregnant client at 34 weeks gestation reports a severe headache and blurred vision. The …](https://mymerci.kr/pages/nclex_q.php?qn_id=394059&lang=zh-tw) - [The nurse teaches parents of a 3-day-old newborn about jaundice. Which finding should the …](https://mymerci.kr/pages/nclex_q.php?qn_id=394157&lang=zh-tw) - [An unsensitized Rh-negative client at 30 weeks of pregnancy is evaluated after a minor mot…](https://mymerci.kr/pages/nclex_q.php?qn_id=397171&lang=zh-tw) - [A breastfeeding client has mastitis and asks whether to stop feeding from the affected bre…](https://mymerci.kr/pages/nclex_q.php?qn_id=397342&lang=zh-tw) - [The nurse reviews infant-care teaching with a parent. Which statements require follow-up? …](https://mymerci.kr/pages/nclex_q.php?qn_id=494270&lang=zh-tw) - [The public health nurse reviews osteoporosis screening plans. Which plans require follow-u…](https://mymerci.kr/pages/nclex_q.php?qn_id=495005&lang=zh-tw) - [The public health nurse reviews lung cancer screening plans. Which plans require follow-up…](https://mymerci.kr/pages/nclex_q.php?qn_id=495945&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=395453&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=395453&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=395453&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=395453&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=395453&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_