The nurse is reviewing the medication regimen for a client with severe acne vulgaris. Which medication should the nurse recognize as potentially beneficial for this client?

Explanation: Choice c indicates a need for further teaching because applying a thick layer of moisturizer before bedtime can potentially clog pores and worsen acne. While moisturizing is essential for preventing dryness, it is essential to use non-comedogenic, oil-free moisturizers that are suitable for acne-prone skin.

Incorrect choices: a. "I will cleanse my face with a mild, non-soap cleanser twice a day." - This statement is correct as cleansing the face with a mild, non-soap cleanser twice a day helps remove dirt, excess oil, and debris without drying out the skin excessively.

b. "I will use a topical retinoid as prescribed by my healthcare provider." - This statement is correct as topical retinoids are a common treatment for acne vulgaris and help promote skin cell turnover and prevent clogged pores.

d. "I will avoid picking or squeezing acne lesions to prevent scarring." - This statement is correct as picking or squeezing acne lesions can lead to infection, inflammation, and scarring.

Explanation: The presence of a rash on the hands and feet is not a common diagnostic criterion for acne vulgaris. Acne vulgaris primarily affects the face, neck, chest, and back, and rashes on the hands and feet are not characteristic of this condition.

Incorrect choices: a. Family history of acne - A family history of acne is a relevant diagnostic criterion as there can be a genetic predisposition to developing acne.

b. Skin biopsy - A skin biopsy may be used in some cases to confirm the diagnosis of acne vulgaris and rule out other skin conditions with similar presentations.

d. Physical examination of the skin - Physical examination of the skin is a standard diagnostic approach for identifying acne vulgaris. It involves assessing the presence of comedones, papules, pustules, nodules, and cysts on the skin.