A school nurse is providing teaching to an adolescent client about the management of acne. Which of the following should the nurse include in the Instructions?

Clean the face with an antibacterial soap twice each day.

Express comedones by gentle squeezing; then cleanse with alcohol.

Clean the face gently with a mild soap once or twice each day.

Avoid foods with a high-fat content such as French fries and chocolate

Answer and Explanation

The Correct Answer is C

A.   Using antibacterial soap may be too harsh and could irritate the skin.
B.   Expressing comedones (popping pimples) is not recommended as it can lead to scarring and infection.
C.   Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.
D.   Although diet can affect acne in some cases, avoiding foods like French fries and chocolate is not a proven method for acne control.

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Correct Answer is ["B","D","E"]

Explanation

A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.

A. Upon auscultation, clear bilateral breath sounds. B. Dyspnea. C. Upon auscultation a machine-like murmur in the right upper sternal border. D. Cyanosis. E. Difficulty feeding

Correct Answer is ["B","C","E"]

Explanation

A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

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A school nurse is providing teaching to an adolescent client about the management of acne. Which of the following should the nurse include in the Instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Correct Answer is ["B","D","E"]

Explanation

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Correct Answer is ["B","C","E"]

Explanation

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