A nurse is assessing a client with suspected herpes simplex virus infection. The client presents with painful cold sores on the lips and face.

Which statement by the client is indicative of this condition?

Choice A rationale:

The nurse should prioritize explaining the complication of recurrent outbreaks to the client.

Recurrent outbreaks of herpes simplex virus (HSV) infection are a common and distressing complication.

These outbreaks involve the reactivation of the virus, leading to the return of painful lesions and symptoms.

Recurrent outbreaks can have a significant impact on the patient's quality of life and may require ongoing management with antiviral medications.

Choice B rationale:

Bacterial skin infections are not the primary complication associated with HSV infection.

While secondary bacterial infections can occur if HSV lesions become superinfected, they are not the most critical complication to prioritize when educating the client.

Choice C rationale:

Allergic reactions to antiviral medications are a potential complication, but they are relatively rare.

While it is important to inform the client about potential side effects and allergic reactions, recurrent outbreaks are a more common and immediate concern in the context of HSV infection.

Choice D rationale:

Gastrointestinal bleeding is not a typical complication of HSV infection.

HSV primarily affects the skin and mucous membranes, and gastrointestinal bleeding is not directly related to the virus.

Therefore, it is not the complication that should be prioritized in explaining to the client.

Choice A rationale:

"Asymptomatic shedding occurs only in individuals with a strong immune system." This statement is incorrect.

Asymptomatic shedding can occur in individuals with both strong and weakened immune systems.

It is not solely dependent on immune system strength.

Choice B rationale:

"Asymptomatic shedding is characterized by the presence of genital ulcers." This statement is incorrect.

Asymptomatic shedding refers to the period when the virus is active and can be transmitted to others, but it occurs without noticeable symptoms or genital ulcers.

Choice C rationale:

"During asymptomatic shedding, the virus cannot be transmitted to others." This statement is incorrect.

Asymptomatic shedding is a significant concern because the virus can be transmitted to sexual partners even when the infected individual does not have visible symptoms.

The absence of symptoms does not mean the virus is not contagious.

Choice D rationale:

"Some individuals may not experience symptoms but can still transmit the virus." This statement is accurate and reflects the nature of herpes simplex virus infections.

Many individuals infected with HSV may not exhibit symptoms but can still shed the virus and potentially transmit it to others through sexual contact or close personal contact.

This highlights the importance of safe practices and disclosure in intimate relationships.