A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is best?

a. Encourage the client to have an annual Papanicolaou (Pap) test.
b. Recommend an over-the-counter wart treatment for genital tissue.
c. Report the case to the Centers for Disease Control and Prevention (CDC).
d. Discuss popular options for contraception.


ANS: A
An annual Pap test is recommended (due the strong relationship between genital warts and the development of dysplasia of the cervix) until three normal Pap smears are obtained. The Pap smear can detect any malignancies of the cervix. Prescribed cream or gel such as podofilox (Condylox) is the recommended treatment, but not over-the-counter treatments. Genital warts, or condylomata acuminata, do not have to be reported to the CDC in all states. Pregnancy is not contraindicated with genital warts.

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