The nurse is teaching a client about the importance of a healthy diet in managing acne vulgaris. Which statement by the client indicates a need for further teaching?

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.

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.