A nurse is obtaining a medical history from a client who is requesting the herpes zoster (HZV) vaccine. The nurse should identify which of the following findings as a contraindication for receiving this vaccine?

A. This is not a contraindication for the herpes zoster vaccine. Orthopedic surgery or joint replacement does not affect the safety or efficacy of HZV, so vaccination can proceed once the client is medically stable. B. Long-term systemic corticosteroid use causes immunosuppression, which is a contraindication for the live attenuated herpes zoster vaccine (Zostavax). Immunosuppressed individuals are at increased risk for developing an active infection from the live virus in the vaccine. Clients on high-dose or prolonged steroids should receive the recombinant zoster vaccine (Shingrix) instead, which is non-live and safe for immunocompromised individuals. C. A history of varicella (chickenpox) is not a contraindication. In fact, prior varicella infection is required for the herpes zoster vaccine to be effective, as the vaccine is designed to boost immunity to the dormant varicella-zoster virus. D. Travel history is not a contraindication for receiving the HZV vaccine. Vaccination may still be administered unless the client has other contraindications, such as immunosuppression or severe allergy to vaccine components.