A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?

A. "Let's review the side effects of metronidazole.” Metronidazole is used to treat bacterial infections like bacterial vaginosis and trichomoniasis, not syphilis. Syphilis is typically treated with penicillin or other appropriate antibiotics.B. “I have to contact your parents.” At 20 years old, the patient is an adult and has a right to medical privacy. Contacting their parents without consent would violate patient confidentiality laws.C. “You need to come back in a week for retesting" Retesting is important in the follow-up for sexually transmitted infections, but it is usually scheduled for a later date (e.g., after treatment is completed and time has passed to check for cure or reinfection). A week is too soon for meaningful retesting for syphilis.D. “I have to notify the public health department.” Syphilis is a reportable disease, meaning healthcare providers are required to notify public health authorities to help control the spread of the infection. This is necessary for public health tracking and intervention.