護理師向一位 25 歲女性衛教 HPV 疫苗。下列哪項陳述顯示病人需要進一步衛教？
A nurse is providing education to a 25-year-old female client about the HPV vaccine. Which statement by the client indicates a need for further teaching?
- AThe vaccine can protect me against cervical cancer.背部疼痛
- BThe vaccine is most effective if given before becoming sexually active.發燒與畏寒
- CI may experience some redness at the injection site.低血壓
- DI will no longer need regular Pap smears after getting the vaccine.✓ 正解哮鳴音
HPV 疫苗（如 Gardasil 9）對於預防多種導致子宮頸癌、外陰癌及生殖器疣的病毒株非常有效，但它並不能覆蓋所有致癌的 HPV 病毒類型。因此，接種疫苗並不代表可以忽略常規的子宮頸抹片檢查。抹片檢查仍是篩檢子宮頸早期癌前病變的重要手段。病人認為接種後即可停止抹片檢查，顯示其對疫苗保護力的局限性有誤解，需要進一步衛教。
The HPV vaccine (such as Gardasil 9) is highly effective at preventing many of the viral strains that cause cervical cancer, vulvar cancer, and genital warts, but it does not cover all oncogenic HPV types. Therefore, receiving the vaccine does not eliminate the need for regular Pap smears, which remain an important screening method for early cervical precancerous lesions. A client who believes that Pap smears can be stopped after vaccination shows a misunderstanding of the vaccine's limitations and needs further teaching.