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    Med Surg 2 Proctored ExamQuestion 39
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    Med Surg 2 Proctored Exam

    A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

    Explanation & Rationale

    A. "When I don't have lesions, I am not contagious to my sexual partner".: Herpes simplex virus (HSV), particularly HSV-2, can be transmitted even in the absence of visible lesions due to asymptomatic viral shedding. Viral particles can be present on mucosal surfaces without active blisters, allowing transmission during sexual contact. B. "I should increase my fluid intake when I have open lesions".: Adequate hydration helps dilute urine, which reduces irritation and burning when it comes into contact with painful vulvar lesions. Maintaining good fluid intake also supports overall healing and prevents urinary stasis, which could predispose to secondary infections. C. "Pouring water over my genitals will decrease the pain of urinating.": Using water during urination, such as with a peri-bottle, helps dilute urine and minimizes direct contact with ulcerated lesions. This reduces dysuria and is a commonly recommended comfort measure for clients with genital herpes or other vulvar lesions. D. "I will wash my hands carefully after applying ointment.": Proper hand hygiene is essential to prevent autoinoculation (spreading the virus to other body sites, such as the eyes) and transmission to others. Washing hands after touching lesions or applying medication is a key infection control practice in managing herpes simplex infections.

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