A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which recommendation should the PN provide?
Refer to the dermatologist for prescribed long-term therapy
Wash the hair and skin daily with mild soap and warm water
Express blackheads and follow with an exfoliating scrub
Omit chocolate, carbonated drinks, and fried foods from the diet
The Correct Answer is B
The correct answer is b. Wash the hair and skin daily with mild soap and warm water.
Choice A rationale:
Referring to a dermatologist for long-term therapy is often necessary for severe or persistent acne that doesn’t respond to over-the-counter treatments. However, it is not the first step for most cases of teenage acne, which can often be managed with proper skincare routines.
Choice B rationale:
Washing the hair and skin daily with mild soap and warm water helps remove excess oil, dirt, and bacteria that can contribute to acne. This is a fundamental step in managing acne and is recommended as part of a daily skincare routine.
Choice C rationale:
Expressing blackheads and using an exfoliating scrub can irritate the skin and worsen acne. It can also lead to scarring and infection. It’s generally advised to avoid picking or squeezing acne lesions.
Choice D rationale:
While diet can influence skin health, there is limited evidence that specific foods like chocolate, carbonated drinks, and fried foods directly cause acne. A balanced diet is important, but eliminating these foods is not a primary recommendation for acne management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
The client will have no signs of infection in the wound by day 7. Rationale: This outcome is appropriate because it sets a specific timeframe (day 7) for assessing the absence of infection in the wound. It provides a clear and measurable criterion for evaluating the effectiveness of the wound care plan.
Choice B rationale:
The client will report a pain level of 4/10 or less during dressing changes. Rationale: Pain management is an essential aspect of wound care. Setting a target pain level (4/10 or less) during dressing changes allows for monitoring and adjustment of pain management strategies, making it an appropriate outcome.
Choice C rationale:
The client will consume at least 75% of meals and snacks daily. Rationale: While nutrition is important for wound healing, this outcome is less directly related to the wound itself. Monitoring meal consumption is a valuable goal for overall health but may not be as closely tied to wound improvement as infection control, pain management, or wound care technique.
Choice D rationale:
The client will reposition self in bed every 2 hours with assistance. Rationale: Repositioning every 2 hours is an important preventive measure for pressure ulcer development. However, this choice may not be appropriate for this particular client if they are unable to reposition themselves, even with assistance. This outcome may not be achievable for all clients, and a more individualized goal may be necessary.
Choice E rationale:
The client will demonstrate proper wound care technique before discharge. Rationale: Ensuring that the client can perform proper wound care techniques independently or with minimal assistance is a crucial outcome. This ensures that the client can maintain wound hygiene and prevent complications after discharge.
Correct Answer is B
Explanation
Choice A rationale:
Ask the mother if any visitors were expected to arrive. Rationale: While it is essential to gather information from the mother, such as whether any visitors were expected, this action does not address the immediate concern of a potentially missing newborn. Matching ID bands is a critical first step in ensuring the safety and security of all infants and mothers on the unit.
Choice B rationale:
Match ID bands of all infants and mothers on the unit. Rationale: This is the correct answer. In a situation where a new mother believes her infant is missing, the nurse's priority is to ensure the safety and security of all infants and mothers. Matching ID bands can help confirm the identity of each infant and mother and prevent any potential mix-ups or missing infants.
Choice C rationale:
Determine if the newborn is in the nursery. Rationale: While it is essential to check the nursery to determine if the newborn is there, it should not be the first action taken. Matching ID bands of all infants and mothers is a more immediate and comprehensive approach to ensuring the safety and security of all patients on the unit.
Choice D rationale:
Activate the lockdown procedure. Rationale: Activating the lockdown procedure should only be done in situations where there is a security threat or immediate danger to the safety of patients and staff. In this case, the primary concern is not a security threat but rather the potential misplacement of an infant. Matching ID bands and confirming the whereabouts of all infants and mothers are more appropriate initial actions.
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