A nurse is caring for an adolescent client who comes to the provider's office for treatment of acne vulgaris on her cheeks. Which of the following instructions should the nurse reinforce with this client and her parents?

Adhere to strict dietary reduction of oily foods.

Express the larger comedones periodically.

Minimize sun exposure.

Use friction when washing the face.

Answer and Explanation

The Correct Answer is C

A. Adhere to strict dietary reduction of oily foods:

Dietary changes, particularly reducing oily and greasy foods, are often recommended as a measure to manage acne. However, the evidence supporting this recommendation is mixed, and strict dietary restrictions may not be necessary for all individuals with acne. Therefore, while the nurse might mention the potential impact of diet on acne, strict dietary reduction of oily foods is not typically the primary focus of acne treatment.

B. Express the larger comedones periodically:

Expressing or squeezing comedones (blackheads or whiteheads) can lead to further inflammation, scarring, and infection. It is not recommended to express comedones at home without proper training and technique. Attempting to express comedones can exacerbate acne and may cause more harm than good.

C. Minimize sun exposure:

Sun exposure can worsen acne and lead to increased inflammation and hyperpigmentation. Therefore, it is important for individuals with acne to minimize sun exposure and use sunscreen with a broad-spectrum SPF of 30 or higher.

D. Use friction when washing the face:

Excessive friction or aggressive scrubbing when washing the face can irritate the skin and worsen acne. Instead, the nurse should advise gentle cleansing of the face using a mild, non-comedogenic cleanser and lukewarm water. Harsh scrubbing or using abrasive cleansers can disrupt the skin barrier and exacerbate acne symptoms.

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Correct Answer is ["B","D","E"]

Explanation

A. Bed in highest position:
The height of the bed is not directly related to seizure precautions.

B. Remove restrictive objects or clothing from patients’ body:
This is important to prevent injury during a seizure episode.

C. Remove all pillows from the patient's head:
While it's generally a good practice to remove pillows to prevent suffocation or obstruction, it's not specifically related to seizure precautions.

D. Oxygen and suction at bedside:
Oxygen and suction should be readily available to support the patient's respiratory status and clear any secretions or vomit during or after a seizure.

E. Padded bed rails:
Padded bed rails can help prevent injury if the patient thrashes or moves violently during a seizure.

A. Barley B. Rye C. Rice D. Wheat

Correct Answer is C

Explanation

A. Barley:

Barley is a grain that contains gluten. Foods made from barley, such as barley flour or barley-based products like bread, cereal, or beer, should be avoided by individuals with celiac disease because gluten can trigger an immune response that damages the small intestine.

B. Rye:

Similar to barley, rye is another grain that contains gluten. Foods made from rye, such as rye bread or rye-based cereals, should also be avoided by individuals with celiac disease because they can trigger adverse reactions due to gluten.

C. Rice:

Rice is a gluten-free grain and is safe for individuals with celiac disease to consume. It does not contain gluten proteins that can cause intestinal damage or trigger immune responses in those with gluten sensitivity or celiac disease.

D. Wheat:

Wheat is a major source of gluten and should be strictly avoided by individuals with celiac disease. Foods made from wheat, such as wheat bread, pasta, or baked goods, can lead to symptoms and intestinal damage in individuals with gluten intolerance or celiac disease.

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A nurse is caring for an adolescent client who comes to the provider's office for treatment of acne vulgaris on her cheeks. Which of the following instructions should the nurse reinforce with this client and her parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You have a patient who has a brain tumor and is at risk for seizures. In the patient's plan of care you incorporate seizure precautions. Select the 3 choices below for all the proper steps to take in initiating seizure precautions. (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following as an acceptable food choice for this child?

Correct Answer is C

Explanation

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