A nurse is caring for a client with infectious mononucleosis (IM) caused by cytomegalovirus (CMV) infection. Which of the following complications should the nurse be vigilant for in this client?

Choice A rationale:

Using condoms consistently and correctly is a valid statement. Condoms provide a barrier that can significantly reduce the risk of STI transmission by preventing direct genital contact.

Choice B rationale:

Getting regular STI testing is crucial for early detection and treatment, even if no symptoms are present. Many STIs can remain asymptomatic, and delaying testing could lead to complications and further spread.

Choice C rationale:

Avoiding sexual contact with multiple partners can indeed lower the risk of STIs, as it reduces exposure to potential carriers. However, this choice does not require further education.

Choice D rationale:

Practicing abstinence is an effective method to prevent STIs, but it may not be feasible for everyone. It is not the "most effective" method, as condoms and regular testing are also vital strategies.

Choice A rationale:

This choice is correct because antiviral drugs like acyclovir are commonly prescribed during herpes outbreaks to reduce the severity and duration of symptoms.

Choice B rationale:

This choice is incorrect. Avoiding treatment due to a penicillin allergy is not relevant to genital herpes, as antiviral drugs are used for herpes treatment, not penicillin-based antibiotics.

Choice C rationale:

This choice is incorrect. Informing sexual partners about a genital herpes diagnosis is crucial to prevent the spread of the infection.

Choice D rationale:

This choice is incorrect. Regular follow-up testing is not typically required for monitoring herpes progress, as the diagnosis is primarily clinical and based on symptoms.