A Patient Hospitalized with Acute Pyelonephritis Develops Small Grouped Vesicles

A patient hospitalized with acute pyelonephritis develops small grouped vesicles on a reddened base on the lips extending to the skin.What does the nurse recognize about the patient?

A) Most likely will require administration of topical acyclovir to prevent scarring of the lips and face
B) Most likely has a recurrence of an oral herpes simplex virus infection due to stress and systemic infection
C) Most likely has a mixed streptococcal or staphylococcal infection that is causing the kidney infection and the lesions on the lips
D) Most likely has an activation of the varicella-zoster virus,which is contagious to those who have not had varicella