Olivia, a 9-year-old girl, has no record of ever receiving an influenza vaccination. she has a fear of needles. the only medication she receives on a regular basis is albuterol. which of the following would be an appropriate recommendation for an influenza vaccination for olivia? a) do not administer any influenza vaccine.
b) recommend one dose of iiv.
c) recommend one dose of laiv
d) recommend two doses of iiv separated by 4 weeks.

D) Recommend two doses of IIV separated by 4 weeks.

Explanation:

An appropriate recommendation would be the inactivated influenza vaccine (IIV) separated by 4 weeks because it is the most effective vaccine against influenza and can be given to children from 6 months to 9 years old who have never been vaccinated against influenza or have not received the double dose of IIV in the past.  Even if she is scared of needles, she needs to be vaccinated.