Which of the following signs and symptoms is most clearly suggestive of primary genital herpes in a male client?
A) Presence of purulent, whitish discharge from the penis
B) Emergence of hard, painless nodules on the shaft of the penis
C) Itching, pain, and the emergence of pustules on the penis
D) Production of cloudy, foul-smelling urine
Ans: C
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The initial symptoms of primary genital herpes infection include tingling, itching, and pain in the genital area, followed by eruption of small pustules and vesicles. In men, the infection can cause urethritis and lesions of the penis and scrotum. Rectal and perianal infections are possible with anal contact. Firm, subcutaneous nodules are not associated with herpes simplex virus (HSV), and the production of penile discharge and cloudy urine is not suggestive of the disease.
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