The patient, age 30, was diagnosed with primary genital herpes ...

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The patient, age 30, was diagnosed with primary genital herpes when she sought care for lesions on her vulva and perineum. Which instructions should the nurse give to her?
 
  a. Continued use of acyclovir (Zovirax) will prevent reinfection by the virus.
  b. Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present.
  c. Acyclovir ointment should be applied to the lesions to increase comfort and speed healing.
  d. Recurrent genital herpes is promoted by any sexual stimulation.

Question 2

An autopsy is performed to determine the cause of death in an elderly man who may have been poisoned. His brain tissue shows neuritic plaques and neurofibrillary tangles in the cortex, but no other abnormalities.
 
  What would the future have held for him if he had lived? A) Neuronal degeneration in the neocortex and hippocampus
  B) Dementia associated with smoking and hypertension
  C) Neuronal atrophy in the frontal lobes
  D) Lewy body dementia

[sarahccccc]

Answer to Question 1

B
Sexual transmission of HSV (genital herpes, a virus) has been documented even in the absence of clinical lesions, and the use of condoms should be encouraged.

Answer to Question 2

A
Feedback:
The man's brain shows signs of Alzheimer's disease. Vascular dementia (B) and frontotemporal dementia (C) have other indications. Lewy body dementia brain tissue would be similar to that in Alzheimer's but would also contain Lewy bodies.