A recent laboratory results indicated an “undetectable” human immunodeficiency virus viral load. What is the nurse's best response?

Correct Answer: D

Rationale: The correct answer is D. The nurse should educate the patient about the continued need for medications and ongoing monitoring because an undetectable viral load does not mean the medication stopped working. It indicates treatment success but does not signify a cure. The patient still needs to adhere to the medication regimen to maintain the viral load suppression and prevent resistance. Rescheduling the clinic visit (B) or immediate action (A) is not necessary based solely on this result. Simply congratulating the patient (C) without providing further information on the importance of medication adherence and monitoring would be inadequate. Therefore, choice D is the best response to ensure the patient understands the significance of continuing treatment.

Correct Answer: B

Rationale: Basiliximab is a monoclonal antibody that can cause cytokine release syndrome, characterized by flu-like symptoms such as chills. This occurs due to the rapid release of cytokines in response to the antibody, leading to systemic inflammatory response. Coughing, tremors, and weakness are not typically associated with cytokine release syndrome. Therefore, the correct answer is B (Chills).

Correct Answer: C

Rationale: The correct answer is C: The signs and symptoms the infant is experiencing. This is important because it helps determine the severity of the reaction and guide appropriate interventions. Understanding the specific symptoms can aid in differentiating between a mild versus severe reaction. Options A, B, and D are not as critical because knowing the exact time of immunization, administering acetaminophen, or the sites of administration do not provide immediate information on the infant's current condition and necessary actions.

Correct Answer: A

Rationale: The correct answer is A because providing the patient with a vaccine information statement in their primary language is crucial for informed consent and ensuring the patient understands the vaccine they received. This helps in addressing any concerns or questions the patient may have. B is incorrect because determining the exact date of the patient's last tetanus booster is important but not as immediate as providing vaccine information to the patient. C is incorrect because documenting side effects is important but not the most immediate action required after administering the vaccine. D is incorrect because providing the patient with a record of the immunization is also important but not as critical as ensuring the patient receives information about the vaccine they just received.

Correct Answer: D

Rationale: The correct answer is D because it is crucial for the patient to understand the importance of completing the full HPV vaccination series for optimal protection. By informing the patient about the date for the next dose, it ensures adherence to the recommended schedule and maximizes the effectiveness of the vaccine. This helps in building long-term immunity against HPV-related diseases. Choice A is incorrect because HPV vaccination does not prevent all sexually transmitted diseases, it specifically targets HPV strains. Choice B is incorrect because even after HPV vaccination, regular Pap smears are still necessary for cervical cancer screening. Choice C is incorrect as mild pain at the injection site is a common side effect of the vaccine and does not typically require notification to the healthcare provider unless it persists or worsens.