Richard Palmer, a 19-year-old university student, has come to the health clinic. He states that he gets cold sores at least six to eight times per year. He informs the nurse that the cold sores...

Richard Palmer, a 19-year-old university student, has come to the health clinic. He states that he gets cold sores at least six to eight times per year. He informs the nurse that the cold sores usually start with lip pain or tingling, often followed by small, painful, fluid-filled blisters on a raised, red, painful area of his lip. The blisters usually last 2 to 3 days in duration then form yellowish crusts that slough off to reveal pinkish skin. With his final exams coming up, Richard admits to feeling stressed. He also works part time serving at a local restaurant to help meet the expenses of college. Like other college students his age, Richard eats on the run and seldom sleeps more than 4 to 5 hours per night. His weekends are even more hectic with the job, school, and social activities. Richard requests something to help rid him of the existing cold sore immediately.

1. How would you explain the mode of transmission and onset of symptoms for herpes simplex viruses (HSV) to Richard?

2. How would you respond when Richard asked, “Is there any medication that I can take to prevent the cold sores from returning?”

3. Topical acyclovir is prescribed for this patient. What patient education would you provide?