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A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to

A) Suggest 3 to 4 warm sitz baths per day
B) Cleanse the genitalia twice a day with soap and water
C) Spray warm water over genitalia after urination
D) Apply heat or cold to lesions as desired

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Final answer:

A primary nursing action focused on comfort for a patient with genital herpes and associated symptoms is to suggest warm sitz baths, which alleviate pain and discomfort. Antiviral medications can manage symptoms, but education on the virus's nature and safe sexual practices remains crucial.

Step-by-step explanation:

Primary Nursing Action for Comfort in Genital Herpes

The primary nursing action with a focus on comfort for a female client diagnosed with genital herpes simplex virus 2 (HSV 2) who complains of dysuria, dyspareunia, leukorrhea, and lesions on the labia and perianal skin would be to suggest 3 to 4 warm sitz baths per day. This action helps to alleviate pain and discomfort associated with the lesions and other symptoms of genital herpes. Genital herpes, a viral sexually transmitted infection (STI), is typically characterized by lesions on the genitals which can be large and painful. While there is no cure for HSV-2, antiviral medications like acyclovir, famciclovir, and valacyclovir help manage the infection. Despite the use of condoms, transmission can still occur since lesions may be present on areas not covered by the condom.

Additionally, it is important to consider other supportive measures such as cleansing the genitalia with mild soap and water, spraying warm water over the genitalia after urination to relieve discomfort, or applying heat or cold to lesions if it provides relief. Patients should be educated about the nature of the virus, including its potential for latency and recurrence, and the importance of sexual partners being informed and possibly treated.

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