A nurse is presenting educational materials for a group of middle-aged clients about
menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the information?

The nurse should anticipate a provider prescription for an antiviral medication, as evidenced by the client's presentation of small pinpoint open vesicles and pustules on the labia majora, which are indicative of a herpes simplex virus infection, a common cause of genital ulcers. The clear drainage and absence of pain are consistent with this diagnosis. Additionally, the thick, mucopurulent discharge could suggest a secondary bacterial infection, for which the provider may prescribe antibiotics.

Antiviral medication is likely prescribed for perineal lesions because these can be indicative of a viral infection, such as herpes. The nurse should recognize the need for antivirals to manage and treat the underlying cause.

• Liver Function Tests: Improved
  The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.

• Edema: Improved
  The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.

• Fetal Heart Rate and Variability: Declined
  The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.

• Headache: Improved
  The reduction in headache pain from a score of 8 to 2 indicates improvement.

• Epigastric Discomfort: Improved
  The absence of epigastric pain on Day 2 suggests improvement.

• Urine Dipstick: Not Changed
  The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.