Choice A rationale:

 "Visual disturbances and hearing loss." These symptoms are not typically associated with HSV infection.

Visual disturbances and hearing loss are more commonly linked to other medical conditions, not HSV.

Choice B rationale:

 "Joint pain and swelling." Joint pain and swelling are not typical symptoms of HSV infection.

These symptoms are more characteristic of conditions like arthritis.

Choice C rationale:

 "Fever, headache, and muscle aches." While these symptoms can occur during an initial HSV infection, they are not specific to HSV and can be seen in various viral illnesses.

HSV infection is often associated with skin rash and blister-like lesions.

Choice D rationale:

 "Skin rash with blister-like lesions." This is the correct clinical presentation to be vigilant for when assessing a patient with suspected HSV infection.

HSV infections often manifest as painful blister-like lesions on or around the skin or mucous membranes, such as the lips or genital area.