A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS?

A. Multiple sexual partners: Multiple sexual partners can increase risk for sexually transmitted infections but are not a recognized specific risk factor for menstrual toxic shock syndrome; TSS is primarily associated with toxin-producing strains of bacteria and tampon use practices. B. Travel to foreign countries: Travel is not a known risk factor for menstrual TSS. C. Mosquito bites: Mosquito bites are unrelated to menstrual TSS risk. D. High-absorbency tampons: Use of high-absorbency tampons and prolonged tampon use were identified historically as major risk factors for menstrual TSS; current prevention emphasizes using the lowest necessary absorbency and changing tampons regularly.