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 B

Explanation

Choice A rationale:

Exenatide does not work in the same way as insulin in lowering blood glucose levels. Exenatide is a glucagon-like peptide-1 receptor agonist (GLP-1 agonist) that works by stimulating insulin secretion in response to elevated blood glucose levels, slowing gastric emptying, and suppressing glucagon release. It does not act like exogenous insulin.

Choice B rationale:

Injecting exenatide within 30 minutes before or after a meal is the correct instruction. This timing is essential because exenatide works best when it is coordinated with meals to help control post-meal blood glucose spikes.

Choice C rationale:

There are precautions about taking exenatide with other medications. It is important for the client to discuss all medications, including potential interactions, with their healthcare provider. Some medications may need to be adjusted when taken with exenatide.

Choice D rationale:

Notifying the healthcare provider if abdominal pain occurs is a valid instruction. Exenatide can sometimes cause gastrointestinal side effects, including abdominal pain. It is essential for the client to report any adverse effects to their healthcare provider for appropriate management.

A. A primigravida whose perineal pain has worsened one hour after being medicated. B. A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour C. A multigravida complaining of strong afterbirth pains when breastfeeding. D. A primigravida who passed a small clot when she sat up on the edge of the bed.

Correct Answer is A

No explanation

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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 discharge instructions for a client with type 2 diabetes who will be starting exenatide.Which information should be included in the discharge instructions?

Correct Answer is B

Explanation

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Correct Answer is A

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