A male college student has arrived at the student clinic complaining of tingling, itching, and pains in his groin
Upon inspection, the nurse notices some pustules and vesicles. While taking a detailed sexual history, the nurse should ask which of the following questions to rule out further complications?
A)
"Do you get cold sores very often?"
B)
"Do you have pain when you urinate or have difficulty starting the stream?"
C)
"Have you noticed excessive swelling in your scrotum the last few days?"
D)
"Have you been experiencing flank pain and bloody urine?"
Ans:
B
Feedback:
The initial symptoms of primary genital herpes infections 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. Urethritis is characterized by pain with urination and difficulty starting the stream. Cold sores are not related to genital herpes. Swelling of the scrotum is common in epididymitis, while flank pain and bloody urine are associated primarily with kidney stone formation.
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