A nurse is reinforcing teaching with a client who is premenopausal.
Which of the following statements by the nurse is appropriate regarding breast self-examinations?

Choice A rationale

Ambulation can stimulate peristalsis and promote bowel movements. However, ambulation is not the priority when the client reports severe abdominal pain rated 7/10 and vomiting. These symptoms could indicate a potential obstruction or other complications, and further evaluation is essential before initiating physical activity to avoid exacerbating the condition.

Choice B rationale

Encouraging oral intake is important to prevent dehydration, particularly if the client has been vomiting. However, this is not the first intervention, as assessing the underlying cause of the symptoms takes precedence. Increasing oral intake without addressing potential gastrointestinal obstruction may worsen the client's condition.

Choice C rationale

Administering antiemetics can provide symptom relief for nausea and vomiting. However, this intervention addresses a symptom rather than identifying the underlying cause of the client's abdominal pain and vomiting. Further evaluation by a provider is necessary before symptomatic management.

Choice D rationale

Notifying the provider allows for further evaluation and timely diagnosis of the cause of the abdominal pain and vomiting, which could indicate serious conditions like bowel obstruction or ischemia. Prompt medical evaluation is essential to determine the appropriate intervention and ensure the client's safety.

Choice A rationale

Acyclovir reduces the frequency and severity of herpes outbreaks but does not prevent transmission. The virus can still be spread through asymptomatic viral shedding, and unprotected sex increases the risk of transmitting the infection to partners.

Choice B rationale

Herpes simplex virus type 2 primarily affects the genital area but can spread to other locations, such as the mouth or fingers, through direct contact with infected secretions. This statement is scientifically incorrect and reflects a lack of understanding.

Choice C rationale

Stress weakens the immune system, triggering latent herpes simplex virus reactivation. This leads to the recurrence of lesions as the virus travels along the nerve pathways to the skin or mucous membranes. Management includes antiviral medications and stress reduction strategies.

Choice D rationale

Herpes simplex virus is contagious even without visible lesions due to asymptomatic viral shedding. The virus can be transmitted to sexual partners during this period, making barrier protection essential at all times to reduce transmission risk. .