A nurse cares for a client who has a stage 3 pressure injury with copious exudate.
What type of dressing does the nurse use on this wound?

Choice A rationale

While medication cost can be a barrier to adherence, it doesn't directly address the client's misconception about the disease itself. Focusing on this aspect may be premature and might not resolve the client's core belief that treatment is unnecessary without symptoms.

Choice B rationale

This statement provides accurate and crucial scientific information. Hypertension is often called the "silent killer" because it typically has no symptoms until it causes significant end-organ damage. Explaining this concept directly addresses the client's flawed reasoning about medication adherence.

Choice C rationale

This response is dismissive and inaccurate. Most people with hypertension do not experience severe morning headaches, and this statement might mislead the client into thinking their lack of symptoms is a sign of good health, thereby reinforcing their decision not to take medication.

Choice D rationale

This response uses scare tactics, which can be counterproductive. While kidney failure is a potential consequence of untreated hypertension, a more educational and less confrontational approach is generally more effective for promoting long-term adherence to a medical regimen.

Choice A rationale

There is no conclusive scientific evidence to support the claim that specific foods like chocolate, peanuts, and cola directly cause or worsen acne. Acne is a multifactorial condition primarily driven by hormonal changes, sebum production, follicular hyperkeratinization, and the bacteria Propionibacterium acnes. While a high glycemic diet may be linked to acne, there is no direct causal link with these specific foods.

Choice B rationale

Over-washing the face with harsh cleansing products can strip the skin of its natural oils (sebum), leading to a rebound effect where the sebaceous glands produce even more oil. This can exacerbate acne by creating a more favorable environment for bacterial proliferation and follicular clogging. Gentle cleansing twice a day is recommended, not frequent washing, to maintain skin barrier integrity.

Choice C rationale

Moderate sun exposure can be beneficial for some individuals with acne. Ultraviolet (UV) light has anti-inflammatory and antibacterial properties that can reduce the population of Propionibacterium acnes. Avoiding sun exposure completely is not a standard recommendation for acne prevention, although excessive sun exposure can lead to other skin problems and should be avoided.

Choice D rationale

Stress and lack of rest can increase cortisol levels, which can stimulate sebum production and inflammation, contributing to acne formation. A balanced diet provides essential vitamins and minerals for skin health, and sufficient rest helps regulate hormonal balance. Promoting overall well-being through diet and rest indirectly supports skin health and can help in the prevention of acne.