A recently adopted 6-year-old from Eastern Europe presents to your office with his parents for a first time visit. His past medical history and physical exam is unremarkable. His parents do not know his immunization history, so you order the appropriate vaccine and immunoglobulin titers in addition to standard testing. His titers are all negative and laboratory work-up is otherwise unremarkable. What immunizations should he receive

Critical thinking scenario: sally is providing patient education to an older patient, mrs. campo, who is having difficulty swallowing the large tablets needed for her medical condition. she tells you that two of the tablets have "deep lines" through the tablet and one has a very hard coat. mrs. campo wants to know if there is any way she can make swallowing the medicine easier. what instructions should sally give mrs. campo that will make her swallowing easier?