What is a clear sign of primary genital herpes that a nurse should identify during examination?

The presence of itching, pain, and the emergence of pustules on the penis is a characteristic sign of primary genital herpes. This condition is primarily caused by the herpes simplex virus (HSV), and the initial outbreak typically presents with vesicular lesions that may rupture to form painful ulcers. These symptoms are often accompanied by prodromal symptoms, such as localized itching or discomfort in the genital area, leading up to the appearance of lesions.

During the examination, these pustules indicate an acute infectious process, consistent with the primary infection phase of genital herpes. This is critical for nurses to recognize, as it aids in the timely diagnosis and management of the condition, which is important for both patient care and the prevention of virus transmission to others. Identifying these signs allows for appropriate education regarding the nature of the infection, potential triggers for future outbreaks, and the importance of safe practices to reduce transmission risk.