A community health nurse is preparing to administer influenza vaccines. Which clients can safely receive the live-attenuated, intranasal influenza vaccine? Select all that apply.

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11ecbb05_cc94_3bb6_b433_bbc51f9a3828_MD0009_00 Influenza (flu) is a viral, respiratory illness common during the winter months. Each year, a new influenza vaccine is created to help protect against specific viral strains. The Centers for Disease Control and Prevention and the Public Health Agency of Canada recommend that all clients age ≥6 months receive the influenza vaccine annually. The influenza vaccine is available as an inactivated vaccine (intramuscular/intradermal injection) or as a live-attenuated influenza vaccine (LAIV; intranasal spray) that contains a weakened form of the live flu virus. The LAIV is safe and effective for most healthy individuals age 2-49 years to receive, including breastfeeding women (Options B and C). (Options A, D, and E) There is a remote chance the LAIV may become infectious; therefore, the LAIV is contraindicated in susceptible populations (eg, immunocompromised; children age <2) and populations with severe potential complications (eg, pregnancy). For these individuals, the inactivated vaccine is safest. Educational objective: The live-attenuated, intranasal influenza vaccine is a safe and effective choice for many healthy clients age 2-49 years but should not be given to clients who are immunocompromised, pregnant, or age <2 years.

A Community Health Nurse Is Preparing to Administer Influenza Vaccines