مريض فشل قلب يسأل عن اللقاحات. أي اللقاحات يُنصح بها غالباً؟ (اختر كل ما ينطبق)

A heart-failure client asks about vaccines. Which are usually recommended? (Select all that apply)

1. Annual influenza vaccine
2. Pneumococcal vaccine
3. No vaccines, because they weaken the heart
4. COVID-19 vaccine per local guidance
5. Live measles vaccine for every adult with heart failure

Answer: A) Annual influenza vaccine, B) Pneumococcal vaccine, D) COVID-19 vaccine per local guidance. Respiratory infections are a leading trigger of heart-failure decompensation, so annual flu, pneumococcal and COVID-19 vaccination are advised per guidance. Measles vaccination depends on prior immunity, not heart failure.