The nurse is providing education to a 32-year-old female client diagnosed with human papillomavirus (HPV). Which client statement indicates a need for further instruction?

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Human papillomavirus (HPV), one of the most common sexually transmitted infections, is associated with genital warts and cervical cancer. There are many different strains of HPV, with types 16 and 18 causing nearly all cases of cervical cancer. HPV infection is often asymptomatic, and genital warts due to HPV are typically painless. Prevention includes vaccination against HPV before sexual activity begins and safe sex practices/abstinence. The recommended age for vaccination in both boys and girls is age 11-12, but the vaccine can be given as early as age 9 and up to age 26. Clients with HPV and their partners should be educated that the virus can still be spread through skin-to-skin contact, even with the use of condoms (Option D). Safe sex practices decrease the risk of disease transmission but do not prevent it entirely. (Option A) HPV can be spread through sexual contact, even if symptoms are not present. (Option B) HPV may be transmitted through vaginal, anal, or oral sex. (Option C) Clients with HPV need to have annual Papanicolaou tests as the virus increases the risk of cervical cell changes (ie, dysplasia) and subsequent risk of cervical cancer. Educational objective: Human papillomavirus (HPV) is associated with genital warts and cervical cancer. Condoms used during sex decrease, but do not completely eliminate, the risk of transmission. Prevention includes vaccination against HPV, preferably before sexual activity begins, and safe sex practices.

The Nurse Is Providing Education to a 32-Year-Old Female Client