The nurse is caring for a client with severe acne vulgaris who has been prescribed oral antibiotics. Which action should the nurse include in the nursing management of the client?
Encourage the client to avoid consuming dairy products during antibiotic treatment.
Educate the client on the importance of sun exposure for vitamin D synthesis.
Monitor liver function regularly while the client is on oral antibiotics.
Recommend the use of topical benzoyl peroxide in combination with oral antibiotics.
The Correct Answer is C
Explanation: Regular monitoring of liver function is essential for clients receiving oral antibiotics for acne vulgaris because some antibiotics may have the potential to cause hepatotoxicity (liver damage). Monitoring liver function helps detect any adverse effects and ensures the client's safety during treatment.
Incorrect choices: a. Encourage the client to avoid consuming dairy products during antibiotic treatment. - There is no specific evidence that links dairy consumption with the effectiveness of oral antibiotics for acne vulgaris. Dairy restriction is not typically indicated for clients on acne treatment.
b. Educate the client on the importance of sun exposure for vitamin D synthesis. - While sun exposure can contribute to vitamin D synthesis, it is not specifically relevant to the client's treatment with oral antibiotics for acne vulgaris. In fact, sun exposure should be minimized or accompanied by sunscreen due to the potential for photosensitivity caused by some antibiotics.
d. Recommend the use of topical benzoyl peroxide in combination with oral antibiotics. - This may be a valid treatment option; however, the question specifically asks for a nursing management action related to the oral antibiotics. The nurse's responsibility is to monitor the client's response to the prescribed oral antibiotics and potential side effects, not topical treatment recommendations.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Explanation: Choice a indicates a need for further teaching because acne is not caused by poor hygiene practices alone. While keeping the skin clean is important, acne results from a combination of factors, including hormonal changes, excess oil production, and clogged pores.
Incorrect choices: b. "Hormonal changes can trigger acne breakouts." - This statement is correct as hormonal fluctuations, especially during puberty, can lead to increased sebum production, contributing to acne development.
c. "Certain foods, like chocolate, can worsen acne." - This statement is correct as certain foods may exacerbate acne symptoms in some individuals, though the effect varies from person to person.
d. "Stress and anxiety can worsen acne symptoms." - This statement is correct as stress can trigger hormonal responses that influence acne development and worsen existing symptoms.
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