Community Health: Herpes Simplex Virus (HSV)

The school nurse recognizes Tammy is in which of Erickson’s developmental stages?
Identity vs. Role Confusion
Which developmental characteristic should the nurse expect?
Dramatic physiological changes associate with sexual maturation
Which are components of a comprehensive sex education program? (Select all that apply).
-Abstinence
-Contraceptive effectiveness
-Sexually transmitted disease prevention
-Emotional aspects associated with sex
Which educational topic presented by the nurse is the most important?
Ways to prevent sexually transmitted disease
How should the RN respond to Tammy’s question?
Many STDs can be transmitted through oral contact
Which information regarding HSV transmission should the RN present?
Both HSV I and HSV II can cause disease on the mouth or genitals
Which action should the RN take first?
Arrange for an appointment with a gynecologist
How should the nurse respond?
Tissue culture of active lesions
Which medication should the nurse expect to be prescribed?
Valacyclovir (Valtrex)
Tammy will receive how many milligrams (mg) of valacyclovir (Valtrex) daily?
2000
How should the RN respond?
Inhibits herpetic viral replicaion
Which side effect of valacyclovir (Valtrex) should the RN include?
Headache
Which other antiviral drugs may be used to treat HSV II? (Select all that apply).
-Famciclovir (Famir)
-Acyclovir (Zovirax)
How should the nurse respond?
Individuals can be infected with HSV II and not have any symptoms
Which statement by the school nurse is correct?
It is ultimately your decision, but telling him may prevent the spread of the disease in the future
Which intervention by the nurse takes priority when counseling with Tammy?
Establish trust and maintain client confidentiality
Which instruction by the nurse will promote comfort?
Recommend a sitz bath
The nurse collaborates with the primary HCP to obtain a prescription for which topical medication?
Lidocaine (Xylocaine)
In order for Tammy to avoid herpetic whitlow, Jackie Johnson, RN, teaches Tammy to implement which action?
Wear protective gloves
Hand washing after toileting may prevent which complication associated with HSV?
Keratitis
Which therapeutic response should the nurse use in reply to Tammy’s declaration?
That is a natural feeling, but let’s talk about ways to reduce the risk of HSV transmission
Which symptoms are indicative of the prodromal stage of genital HSV type II?
Tingling, burning, or itching at the site the lesions will eventually appear
Which instruction should the nurse include about condom application?
Ensure no air is trapped in the tip of the condom
How should the nurse reply?
Delivery is by cesarean section if an active outbreak of HSV is present
Follow-up counseling in which type of community prevention?
Tertiary prevention
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