# A 57-year-old client asks about shingles vaccination. Which teaching should the nurse provide?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397345&lang=en  
> language: en  
> subject: Developmental Stages and Transitions  
> category: HPM

## Question

A 57-year-old client asks about shingles vaccination. Which teaching should the nurse provide?

## Option

1. Vaccination is recommended only after age 75.
2. Two doses of recombinant zoster vaccine are recommended for adults age 50 and older. **✔ Correct answer**
3. The vaccine is unnecessary if the client had chickenpox as a child.
4. Only one lifetime dose is used for all adults.

**Correct answer: 2**

## Explanation

Recombinant zoster vaccine is recommended as a 2-dose series for immunocompetent adults age 50 and older. Prior chickenpox does not remove the recommendation. The schedule is not limited to adults over 75 or a single lifetime dose.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Shingles vaccine teaching.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Shingles vaccine teaching, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Recombinant Zoster Vaccine** — A nonlive vaccine used to prevent shingles and related complications.
- **Shingles** — Reactivation of varicella-zoster virus causing a painful rash.
- **Immunization** — The process of providing protection against an infectious disease through vaccination.

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