What will the nurse include when educating a 12-year-old patient about care of a cold sore? (Select all that apply.)
a. "Keep the cold sore clean with mild soap."
b. "Use an astringent to assist in drying the cold sore and promote rapid healing."
c. "Keep the cold sore moist to prevent cracking."
d. "Note signs of infection, including the presence of pus. Contact the health care provider if this occurs."
e. "Oral analgesics may help alleviate pain."
ANS: A, C, D, E
To reduce the possibility of further infection with bacteria, the area should be kept clean.
Cold sores should be kept moist to prevent cracking and the development of secondary bacterial infection. With secondary infection, application of antibiotic ointment would be indicated. Application of docosanol, local anesthetics, and UV blockers or oral analgesics may be prescribed. Astringents should be avoided to prevent drying, delayed healing, and increased discomfort.
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