A nurse is assessing a client with acne vulgaris using a grading scale. Which grading scale is commonly used to evaluate the severity of acne in patients?
The presence of redness, swelling, and tenderness.
Leeds Acne Grading System.
Closed comedones (whiteheads).
Papules and pustules.
The Correct Answer is B
Choice A rationale:
The presence of redness, swelling, and tenderness.
Rationale: The presence of redness, swelling, and tenderness is not a grading scale but rather a description of the clinical features of acne.
It does not represent a standardized system for evaluating the severity of acne.
Choice B rationale:
Leeds Acne Grading System.
Rationale: The Leeds Acne Grading System is a commonly used standardized scale for assessing the severity of acne.
It takes into account the type and number of lesions (comedones, papules, pustules, nodules) in various regions of the face and assigns a numerical score, which helps clinicians track the progress of treatment and determine its effectiveness.
Choice C rationale:
Closed comedones (whiteheads).
Rationale: Closed comedones (whiteheads) are a type of acne lesion, but they are not a grading scale.
Grading scales assess the overall severity and characteristics of acne rather than specific lesion types.
Choice D rationale:
Papules and pustules.
Rationale: Papules and pustules are types of acne lesions, but they are not a grading scale.
Grading scales focus on a broader evaluation of acne severity, considering factors such as lesion type, number, and distribution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Environmental factors, including exposure to high humidity, can contribute to the development of Acne Vulgaris.
High humidity can increase sweating and potentially worsen acne in some individuals by promoting the clogging of pores.
Choice B rationale:
Genetic predisposition is a significant risk factor for Acne Vulgaris.
If there is a family history of acne, the individual is more likely to develop the condition due to inherited factors that influence skin type, oil production, and susceptibility to inflammation.
Choice C rationale:
Overuse of sunscreen is not a known factor that contributes to the development of Acne Vulgaris.
In fact, sunscreen is recommended to protect the skin from UV radiation and does not play a role in the pathogenesis of acne.
Choice D rationale:
Increased androgen production during puberty is a contributing factor to the development of Acne Vulgaris.
Androgens can stimulate the sebaceous glands to produce more oil, which can lead to the formation of acne lesions.
Choice E rationale:
Consumption of a diet high in vitamin D is not typically associated with the development of Acne Vulgaris.
The condition is primarily influenced by factors like genetics, hormones, and skin hygiene, not vitamin D intake.
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.
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