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 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:

A. Hypertension: Clonidine is actually used to treat high blood pressure, so it wouldn’t be a contraindication.
B. Apical heart rate 72 beats/minute: This heart rate is within normal limits, so it wouldn’t prevent administration.
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.

A. Release the client as soon as composure is regained. B. Observe for extrapyramidal symptoms, such as dystonia. C. Secure the room with padded walls and minimal furnishings. D. Provide one-on-one observation at all times.

Correct Answer is B

Explanation

Choice B rationale:
Observing for extrapyramidal symptoms, such as dystonia, is the most important intervention immediately after seclusion because haloperidol is an antipsychotic medication known to have the potential to cause extrapyramidal side effects. Identifying and managing these side effects promptly is crucial to ensure the client's safety.
Choice A rationale:
Releasing the client as soon as composure is regained may not be safe if the client is still at risk of harming themselves or others. Monitoring for the resolution of symptoms and stabilization is important before releasing the client.
Choice C rationale:
Securing the room with padded walls and minimal furnishings is not the immediate priority. While seclusion rooms should be safe and comfortable, observing for potential side effects takes precedence.
Choice D rationale:
Providing one-on-one observation at all times is a resource-intensive intervention and may not be necessary for all clients. Observing for extrapyramidal symptoms is more targeted and appropriate in this scenario.

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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

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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