The nurse is caring for a pregnant client who has herpes genitalis. The nurse provides instructions to the client about treatment modalities that may be necessary for treatment of this condition
Which of the following statements, if made by the client, indicates an understanding of these treatment measures? 1. "I do not need to abstain from sexual intercourse."
2. "I need to use vaginal creams after I douche every day."
3. "I need to douche and perform a sitz bath three times a day."
4. "It may be necessary to have a cesarean section for delivery."
4
Rationale: If a client has an active lesion, either recurrent or primary at the time of labor, delivery should be by cesarean. Clients are advised to abstain from sexual contact while the lesions are present. If it is an initial infection, the client should continue to abstain from sexual intercourse until the cultures are negative because prolonged viral shedding may occur. Douches are contraindicated, and the genital area should be kept clean and dry to promote healing.
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The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported
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