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 A
Explanation
Choice A rationale:
Topical corticosteroid application is commonly used to manage Acne Vulgaris.
Corticosteroids can help reduce inflammation and redness associated with acne lesions, making them a valuable treatment option for some individuals.
Choice B rationale:
Surgical removal of affected skin areas is not a standard treatment for Acne Vulgaris.
This approach is typically reserved for severe scarring caused by long-term, untreated acne.
Choice C rationale:
The use of antifungal creams is not a standard treatment for Acne Vulgaris.
Acne is primarily driven by factors such as excess sebum production, clogged pores, and inflammation, not fungal infections.
Choice D rationale:
Intravenous antibiotic therapy is not a first-line treatment for Acne Vulgaris.
While antibiotics can be used to treat acne in some cases, they are typically prescribed in oral or topical forms, not intravenous.
Correct Answer is B
Explanation
Choice A rationale:
Increased androgen production during puberty does not cause hair follicles to shrink in Acne Vulgaris.
Androgens can stimulate the sebaceous glands to produce more oil, which can contribute to the development of acne, but the shrinking of hair follicles is not a characteristic feature of the condition.
Choice B rationale:
Excessive sebum production is a key factor in the pathophysiology of Acne Vulgaris.
When the sebaceous glands produce an excessive amount of oil (sebum), it can mix with dead skin cells and clog hair follicles, leading to the formation of comedones (blackheads and whiteheads).
Choice C rationale:
Acne Vulgaris is not primarily caused by an overgrowth of yeast on the skin.
While there are various factors involved in acne development, yeast overgrowth is not a primary driver of the condition.
It is more related to sebum production, inflammation, and bacterial colonization.
Choice D rationale:
Hormonal imbalances do play a role in the pathophysiology of Acne Vulgaris, but they do not result in decreased keratinization of hair follicles.
Instead, hormonal imbalances can lead to increased sebum production and alterations in the skin's response to inflammation, contributing to acne development.
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