The nurse is caring for a client with acne vulgaris. Which intervention is appropriate for nursing management of acne vulgaris?
Squeezing and popping acne lesions to release pus.
Recommending the use of abrasive facial scrubs daily.
Encouraging the client to avoid sun exposure.
Applying over-the-counter hydrocortisone cream to the affected areas.
The Correct Answer is C
While some medications for acne (like retinoids) can increase sensitivity to the sun, and sun exposure can worsen acne or lead to hyperpigmentation, this is a beneficial recommendation.
Incorrect choices:
a. Squeezing and popping acne lesions to release pus. - This intervention can lead to infection and scarring, as well as exacerbate inflammation and further spread bacteria.
b. Recommending the use of abrasive facial scrubs daily. - Daily use of abrasive facial scrubs can irritate the skin and worsen acne symptoms. Gentle cleansing is preferred for individuals with acne-prone skin.
d. Applying over-the-counter hydrocortisone cream to the affected areas. - Hydrocortisone cream is a topical steroid and is not recommended for routine use on acne lesions. It may cause skin thinning and other side effects if used improperly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: Acne vulgaris is a chronic inflammatory skin condition that affects the hair follicles and sebaceous glands. It is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and cysts. While it is not caused by a viral, bacterial, or fungal infection, it is associated with factors such as hormonal imbalances, increased sebum production, and inflammation of the hair follicles.
Incorrect choices: a. A viral skin infection - This is incorrect because acne vulgaris is not caused by a viral infection. It is primarily a result of the abnormal keratinization of hair follicles and excessive sebum production.
b. A bacterial skin infection - This is incorrect because although bacteria can play a role in the development of acne, it is not the primary cause. Propionibacterium acnes, a type of bacteria, is commonly found on the skin and can contribute to inflammation in acne lesions, but it is not the initial cause of acne.
d. A fungal skin infection - This is incorrect because acne vulgaris is not caused by a fungal infection. It is not related to fungi or yeast but is rather a disorder of the pilosebaceous unit in the skin.
Correct Answer is C
Explanation
Explanation: Choice c indicates a need for further teaching because petroleum jelly is not recommended for acne-prone skin. It can clog pores and potentially worsen acne symptoms.
Incorrect choices: a. "I will use a water-based moisturizer to keep my skin hydrated." - This statement is correct as water-based moisturizers are recommended for acne-prone skin as they do not clog pores and help keep the skin hydrated.
b. "I will avoid squeezing my acne lesions to prevent scarring." - This statement is correct as squeezing acne lesions can lead to infection, inflammation, and scarring.
d. "I will use oil-free sunscreen to protect my skin from harmful UV rays." - This statement is correct as using oil-free sunscreen can protect the skin from sunburn and damage without clogging pores and worsening acne.
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