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. The virus is suppressed but still present, so adherence to medications is crucial. Choice A is incorrect as an undetectable viral load is a positive outcome. Choice B is incorrect as rescheduling the visit is unnecessary. Choice C is incorrect as simply congratulating the patient does not address the importance of medication adherence and monitoring.

Correct Answer: B

Rationale: The correct answer is B: Chills. Basiliximab is a monoclonal antibody used to prevent organ rejection by suppressing the immune system. Cytokine release syndrome is a common side effect characterized by the rapid release of cytokines, leading to symptoms such as fever, chills, and flu-like symptoms. Chills specifically indicate an acute systemic inflammatory response, which is a hallmark of cytokine release syndrome. The other choices (A: Coughing, C: Tremors, D: Weakness) are not typically associated with cytokine release syndrome.

Correct Answer: C

Rationale: The correct answer is C: The signs and symptoms the infant is experiencing. This is the most important information because it helps determine the severity and type of reaction the infant is having. By knowing the specific signs and symptoms, the nurse can assess whether it is a mild or severe reaction and provide appropriate guidance or intervention. Choice A (The time the immunization was received) may be important for tracking purposes but does not provide immediate information on the infant's condition. Choice B (Whether the father has given the infant any acetaminophen) is relevant but not as crucial as knowing the actual symptoms. Choice D (The sites used to administer the immunizations) is less important compared to knowing the symptoms, as the reaction can occur regardless of the administration sites.

Correct Answer: A

Rationale: The correct answer is A because providing the patient with a vaccine information statement in their primary language ensures they have essential information about the vaccine they received, including potential side effects, benefits, and risks. This empowers the patient to make informed decisions about their health. Option B is incorrect because while knowing the last tetanus booster date is important, it is not the most crucial action immediately after administering the vaccine. Option C is incorrect as monitoring for side effects should be ongoing, not just immediately after immunization. Option D is also incorrect as providing a record of immunization is important but not as critical as ensuring the patient has information about the vaccine in their primary language for immediate understanding.

Correct Answer: D

Rationale: The correct answer is D because it is crucial for the patient to know when to return for the next dose to ensure optimal protection against human papillomavirus. This vaccination requires multiple doses for full effectiveness. Choice A is incorrect because HPV vaccination does not prevent all sexually transmitted diseases, only specific types of HPV. Choice B is incorrect because pap smears are still necessary for cervical cancer screening even after HPV vaccination. Choice C is incorrect because mild pain at the injection site is common and does not usually require notification to the healthcare provider.