A nurse is collecting data from a male client who has genital herpes. Which of the following findings should the nurse expect? (Select All that Apply.)
Explanation & Rationale
A. Warts on the internal or external genitalia: Genital warts are caused by human papillomavirus (HPV), not herpes simplex virus (HSV). While both are sexually transmitted, the presence of warts does not indicate herpes infection. B. Painful ulcers on the penis: Herpes simplex virus infection commonly causes painful vesicles that progress to ulcers on the genitalia. These lesions are a hallmark symptom and are often accompanied by local tenderness and irritation. C. Red rash on the palms of the hands bilaterally: A bilateral palmar rash is characteristic of secondary syphilis, not genital herpes. Herpes lesions are typically localized to the genital area and do not produce a widespread rash. D. Temperature 37.6°C (99.6° F): Mild fever can occur during an initial herpes outbreak due to the body’s inflammatory response to viral replication. This low-grade temperature is consistent with systemic manifestations of the infection. E. Yellow or green drainage from the urethra: Purulent urethral discharge suggests bacterial infection, such as gonorrhea, rather than viral herpes. Herpes lesions usually produce serous or clear fluid, not thick, colored drainage.