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    Ati lpn medical surgical proctored exam

    A nurse is reinforcing teaching with a client in a primary care office who has a diagnosis of oral herpes simplex virus type 1. Which of the following statements best describes a recommendation that the nurse should reinforce with the client?

    Explanation & Rationale

    Brief Introduction: Oral herpes simplex virus type 1 involves vesicular lesions on the labial mucosa characterized by prodromal tingling and subsequent painful ulceration. This DNA virus remains latent in the trigeminal ganglion, reactivating during periods of physical or emotional stress. Rationale: A. Plaque-reducing mouthwash typically contains high concentrations of alcohol, which can significantly irritate open herpetic ulcers. Oral hygiene is vital but using astringent solutions on active vesicles delays re-epithelialization and increases localized discomfort for the client. B. Maintaining oral hygiene is essential even during active outbreaks to prevent secondary bacterial infections like staphylococcal glossitis. Clients should be encouraged to use a soft-bristled toothbrush and gentle technique to avoid mechanical trauma to the sensitive perioral lesions. C. Toothbrushes can harbor the virus in the bristles, potentially leading to autoinoculation or prolonged viral shedding after the initial flare. Replacing the brush once the lesion has crusted over prevents re-exposure and promotes a cleaner environment for mucosal healing. D. Commercial lip masks often contain fragrances or chemical additives that can exacerbate inflammation of the viral vesicles. Moisture-trapping occlusive dressings may promote maceration of the skin, whereas the goal is to keep the area clean and dry.

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