A nurse is assessing a client with acne vulgaris. The client presents with non-inflammatory lesions on their face and neck.
What type of lesions are commonly observed in this presentation?
The presence of redness, swelling, and tenderness.
Closed comedones (whiteheads).
Nodules and cysts.
Papules and pustules.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D: “Dark spots may persist even after the resolution of acne lesions.”
Choice A rationale:
This option is not a complete statement and does not provide any information about post-inflammatory hyperpigmentation (PIH).
Choice B rationale:
This statement is incorrect. Post-inflammatory hyperpigmentation is a common complication of acne vulgaris, especially in individuals with darker skin tones.
Choice C rationale:
This statement is also incorrect. Picking and squeezing acne lesions can actually increase the risk of developing PIH because it causes more inflammation.
Choice D rationale:
This is the correct answer. PIH can result in dark spots that persist even after the acne lesions have resolved. These spots are due to excess melanin production as the skin heals from inflammation.
Choice E rationale:
This statement is incorrect. PIH can occur in individuals of all skin tones, but it is more common and tends to be more severe in individuals with darker skin.
Correct Answer is B
Explanation
Choice A rationale:
Excessive exposure to sunlight does not lead to Acne Vulgaris.
In fact, sunlight exposure can have a drying effect on the skin and may temporarily improve acne symptoms in some individuals.
However, it is not a direct cause of the condition.
Choice B rationale:
Genetic predisposition is a well-established risk factor for Acne Vulgaris.
If a person has a family history of acne, they are more likely to develop the condition themselves.
Genetic factors can influence the individual's skin type, oil production, and susceptibility to inflammation, all of which contribute to the development of acne.
Choice C rationale:
Consuming a diet high in vitamin C does not cause Acne Vulgaris.
In fact, vitamin C is known for its antioxidant properties and is generally considered beneficial for skin health.
Acne is primarily driven by factors such as genetics, hormones, and skin bacteria, not vitamin C intake.
Choice D rationale:
Wearing sunscreen regularly does not increase the risk of Acne Vulgaris.
Sunscreen is essential for protecting the skin from harmful UV radiation and preventing conditions like sunburn and skin cancer.
It does not play a role in the development of acne.
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