The nurse is teaching a client about the factors that can exacerbate acne vulgaris. Which statement by the client indicates a need for further teaching?

Explanation: Choice a indicates a need for further teaching because applying acne cream on the entire face is unnecessary and can lead to skin irritation. Acne treatments should be applied only to the affected areas to avoid over-drying and irritating healthy skin.

Incorrect choices: b. "I will use the acne treatment as directed and avoid over-applying." - This statement is correct as over-applying acne treatments can lead to skin irritation and adverse reactions. Following the instructions on the product label is essential for safe and effective use.

c. "I will perform a patch test before using any new acne product." - This statement is correct as patch testing helps determine if a new product may cause an allergic reaction or irritation, especially for individuals with sensitive skin.

d. "I will discontinue the acne treatment once my skin clears up." - This statement is correct as acne treatments should be used consistently, even if the skin clears up, to prevent future breakouts and maintain results.

Explanation: The nurse's role in addressing the client's concern about potential scarring is to provide emotional support and encouragement. Acne can have a significant impact on self-esteem, especially in teenagers. Encouraging open communication and offering support can help the client cope with the emotional aspect of acne and its potential effects on self-image.

Incorrect choices: a. Apply a topical retinoid liberally to prevent scarring. - While topical retinoids are used in the treatment of acne vulgaris, they are not specifically applied to prevent scarring. Their primary role is to promote skin cell turnover and prevent clogged pores.

b. Recommend using oil-based makeup products to cover acne scars. - Using oil-based makeup products may worsen acne and is not a recommended strategy for covering scars. Non-comedogenic makeup products are preferable for individuals with acne-prone skin.

c. Educate the client on avoiding sun exposure to minimize scarring. - While avoiding sun exposure is essential to protect the skin from UV damage, it does not specifically minimize scarring caused by acne. Preventing acne lesions and avoiding picking or squeezing existing lesions are more effective strategies to prevent scarring.