Final answer:
The most appropriate management would be to follow the CDC recommendation of receiving a Td booster every 10 years.
Step-by-step explanation:
The most appropriate management for a 25-year-old female who received the tetanus toxoid, Tdap, vaccine at age 18 during a routine wellness visit would be to follow the CDC recommendation of receiving a Td booster every 10 years. Since she received the Tdap vaccine at age 18, she would be due for a Td booster at age 28. This will ensure continued protection against tetanus.
If the student in question is currently 25 years old, she would not yet be due for a Td booster. However, during her routine wellness visit, her healthcare provider can discuss the appropriate schedule for future Td boosters and advise on any other necessary vaccines based on her individual health status and risk factors.