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

None

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B

Choice A rationale: Dermatologist referral is appropriate for severe or treatment-resistant acne, not first-line advice for mild to moderate adolescent acne.

Choice B rationale: Daily cleansing with mild soap removes excess oil and bacteria, reducing clogged pores and inflammation without irritating the skin barrier.

Choice C rationale: Expressing blackheads can damage follicles, increase inflammation, and risk scarring or infection, especially without sterile technique.

Choice D rationale: Diet’s role in acne is inconclusive; while some foods may influence acne in sensitive individuals, evidence does not support blanket elimination of chocolate or fried foods.

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Correct Answer is C

Explanation

The correct answer is choice c. Administer prescribed stool softener.

Choice A rationale:

Administering prescribed PRN sleep medications is not the highest priority. While rest is important, managing pain and preventing complications from the laceration take precedence.

Choice B rationale:

Encouraging the use of prescribed analgesic perineal sprays is beneficial for pain management, but it is not the highest priority intervention.

Choice C rationale:

Administering a prescribed stool softener is crucial because it helps prevent constipation, which can cause significant pain and strain on the perineal area, potentially worsening the laceration.

Choice D rationale:

Encouraging breastfeeding to promote uterine involution is important for postpartum recovery, but it does not directly address the immediate needs related to the fourth-degree laceration.

A. A bedside commode is positioned near the bed. B. A full pitcher of water is on the bedside table. C. The client is lying in a supine position in bed. D. A saline lock is present in the right forearm. E. A low sodium diet tray was brought to the room.

Correct Answer is ["C"]

Explanation

Choice A rationale:

A bedside commode is positioned near the bed. Positioning a bedside commode near the bed is appropriate for a client with heart failure and COPD who may have mobility issues or difficulty walking to the bathroom. It promotes safety and convenience for the client.

Choice B rationale:

A full pitcher of water is on the bedside table. While it's essential to keep clients with heart failure adequately hydrated, having a full pitcher of water within easy reach might encourage excessive fluid intake, which can exacerbate heart failure symptoms. However, this choice is not an immediate risk requiring intervention.

Choice C rationale:

The client is lying in a supine position in bed. A client with heart failure and COPD should not be lying in a supine position because it can exacerbate respiratory distress and increase the workload of the heart. This is an observation that requires immediate intervention, such as repositioning the client to an upright or semi-fowler's position.

Choice D rationale:

A saline lock is present in the right forearm. The presence of a saline lock is a standard precaution in a hospitalized client and does not require immediate intervention unless there are specific issues with it, such as signs of infection or dislodgement. It does not pose an immediate harm to the client.

Choice E rationale:

A low sodium diet tray was brought to the room. A low sodium diet is crucial for managing heart failure because excessive sodium intake can lead to fluid retention and exacerbate symptoms. Ensuring that the client follows the prescribed diet is essential for their well-being, and any deviations may require immediate intervention.

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A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which recommendation should the PN provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client who has a fourth-degree midline laceration that occurred during vaginal delivery of an 8-pound 10-ounce (3674 grams) infant. Which intervention has the highest priority for this client?

Correct Answer is C

Explanation

A client is admitted with an exacerbation of heart failure secondary to chronic obstructive pulmonary disease (COPD). Which observation(s) by the nurse require immediate intervention to reduce the likelihood of harm to this client? (Select all that apply.).

Correct Answer is ["C"]

Explanation

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