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[Expert Solution]: 18-year-old client presents for physical…

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18-year-old client presents for physical examination and update of immunizations prior to travelling abroad for college. Client has no record of meningococcal, hepatitis B, tetanus, or measles, mumps, and rubella (MMR) vaccines since early childhood. Client reports not receiving human papillomavirus (HPV) vaccine. Client is alert and oriented x 3. Moves all extremities well. Respirations are even and unlabored. Breath sounds are clear. Reports runny nose, clear drainage noted. Heart rate regular, no murmurs. Abdomen soft with normoactive bowel sounds. Client has a history of sickle cell disease and history of throat swelling after consuming baker’s yeast. Family history of hypertension and diabetes mellitus. 0930: Client to receive vaccines over the next few weeks, prior to travelling abroad. Will schedule the following vaccines: influenza, meningococcal, hepatitis B, MMR, HPV, and diptheria, tetanus, and pertussis (DTaP).

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