Question

A client with a history of HSV II tells the nurse that he uses acyclovir (Zovirax) ointment daily to prevent recurrent infection. The nurse should give priority to: A. Determining when the client last had an outbreak B. Asking how many times a day he applies the ointment C. Explaining that topical acyclovir does not prevent recurrent infection D. Asking the client if he is also taking oral acyclovir

Short answer

Answer: C. Explaining that topical acyclovir does not prevent recurrent infection

Step-by-step solution

Analyze the answer choices

To select the action with the highest priority, consider the importance of each nursing action and the implications for the client: A. Determining when the client last had an outbreak: This information may be helpful to assess the frequency of outbreaks but does not directly address the client's use of acyclovir ointment. B. Asking how many times a day he applies the ointment: This question can help to assess the client's adherence to medication regimen, but it does not address the effectiveness of the ointment to prevent recurrent infection. C. Explaining that topical acyclovir does not prevent recurrent infection: This action addresses the client's misunderstanding of the medication and provides important information regarding its ineffectiveness for prevention. D. Asking the client if he is also taking oral acyclovir: While this question may reveal additional information about the client's overall treatment, it does not directly address the client's use of acyclovir ointment for prevention.

Evaluate the priority of each answer choice

By considering the importance of each nursing action and their implications for the client, it's clear that some answers are more relevant to the client's misunderstanding of acyclovir ointment use. The highest priority nursing action in this case is: C. Explaining that topical acyclovir does not prevent recurrent infection: This answer addresses the client's misunderstanding, ensuring they understand the limitations of the medication they are using to prevent recurrent infection. This knowledge helps to protect the client from future outbreaks by allowing them to explore other appropriate prevention strategies.

Key concepts

Nursing Priorities

When dealing with patients, especially those suffering from chronic conditions like HSV II, it is crucial for nurses to identify and act on nursing priorities effectively. Nursing priorities involve identifying the most important issues for the patient to address them first.

In the scenario provided, the client believes that using topical acyclovir can prevent recurrent HSV II infections. The nurse's highest priority is to correct this misunderstanding since it directly affects the client's management of their condition. Addressing misconceptions is essential as it helps patients apply the most effective treatment strategies, improving their quality of life.

• Misunderstandings about medication use can lead to ineffective treatment and distress.
• Educating patients about the purpose and limitations of their medications should be a nursing priority.
• Nurses should prioritize actions that correct patient's understanding of treatment to prevent ongoing issues.

HSV II Management

Managing HSV II, a chronic viral infection, requires a comprehensive approach. Nurses play a vital role in guiding patients to effective management strategies.
HSV II (Herpes Simplex Virus Type II) primarily causes genital herpes, a condition characterized by occasional outbreaks of painful sores and blisters. Management involves not just treatment of outbreaks but also educating patients on how to reduce transmission and minimize outbreak frequency.
Nurses should focus on:

• Informing patients about their condition and treatment options.
• Emphasizing the importance of medication adherence to manage outbreaks.
• Advising on lifestyle changes to decrease infection frequency.
• Promoting safe practices to prevent transmission to partners.

Acyclovir Medication Usage

Acyclovir is a key medication used to treat HSV II infections. It is an antiviral drug that helps reduce the severity and frequency of outbreaks. It's important for patients to understand the differences between topical and oral forms.
Topical acyclovir primarily aids in healing outbreaks faster and is less effective in preventing future outbreaks. The oral form is more effective in reducing outbreak frequency and intensity when taken regularly.

• Acyclovir does not cure HSV II but helps to manage symptoms.
• Oral acyclovir is preferable for prevention of frequent outbreaks.
• Nurses should ensure patients understand how to use acyclovir effectively.
• Discussing medication schedules and potential side effects is essential.

Infection Prevention in Nursing

Preventing infection is a critical aspect of nursing care, particularly for those managing chronic conditions like HSV II. Nurses must educate patients about effective strategies to prevent both recurrent infections and transmission to others.
Some key practices include:

• Proper use of medications as prescribed.
• Maintaining hygiene and careful management of sores during outbreaks.
• Using protective methods to prevent spreading the virus to sexual partners.
• Encouraging regular follow-ups with healthcare providers to monitor and adjust treatment plans.

Nurses have a pivotal role in ensuring that patients are equipped with knowledge and skills to prevent infections and maintain optimal health.