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 B
Explanation
Explanation: Choice b indicates a need for further teaching because scrubbing the face vigorously can irritate the skin and worsen acne lesions. Gentle cleansing is recommended to avoid skin irritation and inflammation.
Incorrect choices: a. "I will cleanse my face with a gentle, non-abrasive cleanser twice daily." - This statement is correct as gentle cleansing with a non-abrasive cleanser can help remove excess oil, dirt, and debris from the skin without causing irritation.
c. "I will avoid using oil-based moisturizers on my face." - This statement is correct as oil-based moisturizers can clog pores and worsen acne. Non-comedogenic, oil-free moisturizers are recommended for acne-prone skin.
d. "I will avoid picking or squeezing my acne lesions." - This statement is correct as picking or squeezing acne lesions can lead to infection, inflammation, and scarring. It is important to leave acne lesions untouched and let them heal naturally.
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.
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