The nurse is teaching a group of adolescents about care for acne vulgaris. Which interventions will the nurse include in the teaching session? Select all that apply.
Wash skin with mild soap and water twice a day.
Use astringents and vigorous scrubbing.
Avoid picking or squeezing the lesions.
Apply tretinoin (Retin-A) liberally.
Avoid sun exposure if on tetracycline.
Correct Answer : A,C,E
Rationale:
A. Washing the skin gently twice a day helps remove excess oil and dirt without irritating the skin.
B. Vigorous scrubbing and harsh astringents can irritate the skin and worsen acne.
C. Picking or squeezing acne lesions can lead to scarring and infection and should be avoided.
D. Tretinoin should be applied sparingly as it can cause irritation; liberal application increases the risk of skin dryness and redness.
E. Tetracycline antibiotics increase sensitivity to sunlight, so sun avoidance and use of sunscreen are important to prevent burns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Heavy clothing can lead to overheating and sweating, which may worsen eczema symptoms.
B. Cold air can dry out the skin, aggravating eczema.
C. Unless a specific food allergy is identified, there's no need to restrict common allergens like eggs, nuts, or avocado.
D. Applying warm (not hot) lotion or moisturizer immediately after a bath helps lock in moisture, reducing dryness and irritation associated with eczema.
Correct Answer is A
Explanation
Rationale:
A. Feeling irritable can be a sign of hypoglycemia, and drinking a glass of milk (which contains carbohydrates) can help raise blood sugar levels safely.
B. Skipping meals can cause blood sugar levels to drop dangerously low; consistent meal intake is important in diabetes management.
C. When mixing insulins, regular insulin should be drawn up before NPH insulin to prevent contamination.
D. Exercise generally lowers blood glucose, so insulin doses are often adjusted downward or snacks are increased, not insulin increased, before or after activity.
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