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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation: The description of small, red, inflamed bumps on the face and back is consistent with papules, which are a common clinical manifestation of acne vulgaris.
Incorrect choices: a. Presence of nodules and cysts - Nodules and cysts are deeper, larger, and more severe lesions that extend into the skin. They are not characteristic of the small, red, inflamed bumps described.
b. Appearance of comedones - Comedones are non-inflammatory lesions and do not present as red, inflamed bumps.
c. Distribution of pustules - Pustules are pus-filled lesions, and the description of the patient's skin lesions does not specifically mention pustules.
Correct Answer is D
Explanation
Explanation: The diagnostic criteria for acne vulgaris typically include the identification of both comedones (blackheads and whiteheads) and inflammatory lesions (papules, pustules, nodules, and cysts). These manifestations are characteristic of acne vulgaris and help distinguish it from other skin conditions.
Incorrect choices: a. Scalp lesions - Scalp lesions are not specific to acne vulgaris and may be associated with other skin conditions or scalp disorders.
b. Yellowish-brown nodules - Yellowish-brown nodules are not commonly associated with acne vulgaris. These nodules may indicate a different skin condition.
c. Erythematous plaques with silver scales - This description is characteristic of psoriasis, a chronic autoimmune skin condition, and is not indicative of acne vulgaris.
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