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:

Objective data. Rationale: Objective data are observable and measurable facts obtained through physical examination or diagnostic tests. The statement incorrectly labels the data as objective when it is, in fact, based on the client's feelings and perceptions, making it subjective.

Choice B rationale:

Subjective data. Rationale: Subjective data are information provided by the client, including their feelings, perceptions, and experiences. The statement correctly labels the data as subjective, as it reflects the client's report of thirst and hunger.

Choice C rationale:

Primary data. Rationale: Primary data are original data collected directly from the source, such as a client's medical history or interview. However, this classification does not address the nature of the data as being subjective or objective, so the statement does not provide a complete answer.

Choice D rationale:

Secondary data. Rationale: Secondary data are data obtained from sources other than the client, such as medical records or research studies. Similar to choice C, this classification does not address the nature of the data as being subjective or objective.

A. Encourage the client to exercise every day to eliminate bedtime wakefulness. B. Advise the client that lifestyle changes often take several weeks to be effective. C. Ask the client for a description of the exercise schedule that is being followed. D. Determine the amount of weight the client has lost since increasing activity.

Correct Answer is B

Explanation

Choice A rationale:

Encouraging the client to exercise every day to eliminate bedtime wakefulness is not appropriate advice in this scenario. It oversimplifies the issue and may not address the underlying causes of the client's sleep difficulties. Additionally, excessive exercise close to bedtime may actually interfere with sleep.

Choice C rationale:

Asking the client for a description of the exercise schedule being followed is a reasonable action. It allows the nurse to gather information about the client's exercise routine and assess whether it might be contributing to the sleep difficulties. However, this alone may not fully address the client's concerns.

Choice D rationale:

Determining the amount of weight the client has lost since increasing activity is relevant to the client's overall health and progress toward weight loss goals, but it does not directly address the issue of sleep difficulties. Weight loss and improved sleep may not always have a direct cause-and-effect relationship.

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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

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Explanation

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Explanation

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