A Client with Chronic Obstructive Pulmonary Disease (COPD)says,I'm Not Going

A client with chronic obstructive pulmonary disease (COPD) says,I'm not going to take a flu shot this year.If there is an outbreak,I'll take one then." How should the nurse respond to this statement?
Select all that apply.

A) I rarely take a flu shot either."
B) Once the outbreak is here,it is usually too late for immunizations."
C) We can't always treat influenza very effectively in people with COPD."
D) If you had an immunization last year,it is probably still effective."
E) If you change your mind,you can take one at your next appointment in January."