Author Question: A patient recently diagnosed with herpes simplex II asks how to best manage the lesions. What ... (Read 28 times)

Chelseaamend · **on:** Jun 25, 2018

A patient recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should the nurse provide for this patient?

1. The use of soap should be restricted.
2. It is safe to use a solution of 50 rubbing alcohol and 50 water to clean the lesions.
3. Wearing nylon panties will reduce discomfort.
4. Gentle soap and water can be used to clean the lesions.

Question 2

The nurse is caring for a patient diagnosed with cancer of the vulva. About which treatments should the nurse prepare teaching material for this patient?

Select all that apply.

1. imiquimod therapy
2. chemotherapy
3. hormone therapy
4. surgical resection
5. radiation therapy

BAOCHAU2803 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
The lesions need to be kept clean and dry. It is safe to use mild soap and water. Rubbing alcohol would cause burning of the lesions and should not be used. Nylon panties will promote moisture and reduce ventilation to the perineal area and should not be worn. It is important to wear loose cotton clothing that will not trap moisture and to avoid wearing panty hose and tight jeans.

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Imiquimod, an immune response modifier, is used in the treatment of HPV warts and reduces neoplasia. Surgical resection is the usual treatment for cancer of the vulva. If lymph nodes are involved, radiation therapy is used postoperatively. Chemotherapy is reserved for distant metastases. Hormone therapy is not used in the treatment of cancer of the vulva.