A nurse is assessing a client with acne vulgaris and wants to determine the factors that contribute to their condition.
Select all the factors that the nurse should inquire about during the assessment.
The patient's skincare routine.
The use of isotretinoin for severe cases.
Presence of redness, swelling, and tenderness around the lesions.
Impact of acne on the patient's self-esteem.
Use of non-comedogenic products.
Correct Answer : A,B,D,E
Choice A rationale:
The patient's skincare routine.
Rationale: The patient's skincare routine is an essential factor to assess when determining the causes and aggravating factors of acne vulgaris.
Certain skincare products or practices may contribute to the development or worsening of acne.
Choice B rationale:
The use of isotretinoin for severe cases.
Rationale: Isotretinoin is a potent oral medication used for severe cases of acne vulgaris.
Understanding whether the client has used or is currently using isotretinoin is crucial because it is associated with potential side effects and requires close monitoring.
Choice C rationale:
Presence of redness, swelling, and tenderness around the lesions.
Rationale: While the presence of redness, swelling, and tenderness is relevant to assess, it is more related to the clinical presentation of acne rather than factors contributing to the condition.
This information helps classify the type and severity of acne.
Choice D rationale:
Impact of acne on the patient's self-esteem.
Rationale: Assessing the impact of acne on the patient's self-esteem is important because it provides insights into the psychosocial aspects of the condition.
Acne can significantly affect a person's self-esteem and quality of life.
Choice E rationale:
Use of non-comedogenic products.
Rationale: Non-comedogenic products are designed not to clog pores, which can help prevent the formation of new acne lesions.
Inquiring about the use of such products is relevant when assessing contributing factors to acne.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Picking and squeezing acne lesions is not recommended to prevent scarring.
In fact, it can lead to more extensive inflammation and potential scarring.
This choice is incorrect and can exacerbate the issue.
Choice B rationale:
Avoiding excessive sun exposure and using non-comedogenic sunscreen is a crucial recommendation to prevent scarring in acne vulgaris patients.
Sun exposure can worsen hyperpigmentation and make scars more noticeable, so protection from the sun is essential.
Choice C rationale:
Scarring is not inevitable with acne vulgaris, and this statement is incorrect.
Proper management, including medication adherence and appropriate skincare, can help minimize scarring.
This choice is misleading.
Choice D rationale:
Scrubbing the face vigorously to remove acne lesions is not recommended.
It can lead to further irritation, inflammation, and potential scarring.
This choice is incorrect and can harm the skin.
Correct Answer is B
Explanation
Choice A rationale:
The presence of redness, swelling, and tenderness.
Rationale: Closed comedones, also known as whiteheads, are non-inflammatory lesions that do not exhibit redness, swelling, or tenderness.
These lesions are characterized by the accumulation of sebum and dead skin cells within hair follicles, which form a white or flesh-colored plug that is not associated with inflammation.
Choice B rationale:
Closed comedones (whiteheads).
Rationale: Closed comedones, or whiteheads, are commonly observed in non-inflammatory presentations of acne vulgaris.
These lesions occur when hair follicles become blocked with sebum and dead skin cells, leading to the formation of a white or flesh-colored plug.
Unlike inflammatory lesions, whiteheads do not exhibit redness, swelling, or tenderness.
Choice C rationale:
Nodules and cysts.
Rationale: Nodules and cysts are typically observed in severe cases of acne vulgaris and represent inflammatory lesions.
These lesions are characterized by deep, painful, and often pus-filled nodules or cysts beneath the skin's surface.
They are not commonly associated with non-inflammatory presentations.
Choice D rationale:
Papules and pustules.
Rationale: Papules and pustules are also inflammatory lesions seen in acne vulgaris.
Papules are small, raised, red bumps, while pustules are similar but contain pus.
These lesions are associated with redness, swelling, and tenderness, which are not characteristic of non-inflammatory lesions.
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