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
None
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale:
"Antiembolism stockings on, leg exercises performed hourly" indicates that activities to prevent postoperative venous stasis were performed correctly. This combination ensures both mechanical prophylaxis (antiembolism stockings) and physical activity (leg exercises) to prevent blood clots in postoperative patients.
Choice A rationale:
"Leg exercises not performed because of placement of antiembolism hose" is not the correct approach. Leg exercises should be encouraged even when antiembolism stockings are worn, as they have complementary benefits in preventing venous stasis.
Choice B rationale:
"Antiembolism stockings removed hourly during leg exercises" is not recommended. Antiembolism stockings should be worn continuously to be effective in preventing venous stasis.
Choice C rationale:
"Client demonstrates the ability to move all extremities well" is a good sign of the client's mobility but does not confirm that the specific activities to prevent postoperative venous stasis were performed correctly. The combination of stockings and leg exercises is more comprehensive.
Correct Answer is D
Explanation
The correct answer is: D. Blood pressure 90/76 mm Hg.
Clonidine is an alpha-2 adrenergic agonist used to manage withdrawal symptoms, but it lowers blood pressure as a side effect. If the client's blood pressure is already low (90/76 mm Hg), administering clonidine could lead to hypotension, putting them at risk for dizziness, fainting, or more severe complications.
Here's why the other options are not contraindications:
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A. Hypertension: Clonidine is actually used to treat high blood pressure, so it wouldn’t be a contraindication.
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B. Apical heart rate 72 beats/minute: This heart rate is within normal limits, so it wouldn’t prevent administration.
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C. Muscle weakness: While clonidine can cause fatigue, muscle weakness is not a direct contraindication.
Since the client is experiencing withdrawal symptoms like nervousness and unusual sensations ("bones itching"), monitoring vital signs is critical before giving the medication.
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