What will the nurse include when teaching about general skin care measures that could help prevent acne?

Choice A rationale

While medication cost can be a barrier to adherence, it doesn't directly address the client's misconception about the disease itself. Focusing on this aspect may be premature and might not resolve the client's core belief that treatment is unnecessary without symptoms.

Choice B rationale

This statement provides accurate and crucial scientific information. Hypertension is often called the "silent killer" because it typically has no symptoms until it causes significant end-organ damage. Explaining this concept directly addresses the client's flawed reasoning about medication adherence.

Choice C rationale

This response is dismissive and inaccurate. Most people with hypertension do not experience severe morning headaches, and this statement might mislead the client into thinking their lack of symptoms is a sign of good health, thereby reinforcing their decision not to take medication.

Choice D rationale

This response uses scare tactics, which can be counterproductive. While kidney failure is a potential consequence of untreated hypertension, a more educational and less confrontational approach is generally more effective for promoting long-term adherence to a medical regimen.

Choice A rationale

Peripheral arterial disease causes reduced blood flow to the extremities, making them highly susceptible to thermal injury. A heating pad can cause a severe burn because the compromised circulation prevents adequate heat dissipation, and the impaired sensation often associated with PAD means the client may not feel the excessive heat.

Choice B rationale

Crossing legs compresses the popliteal artery and other vessels, further impeding already compromised arterial blood flow to the lower extremities. This action increases resistance and reduces tissue perfusion, exacerbating the ischemic symptoms and potentially worsening the disease progression.

Choice C rationale

Wearing warm, heavy socks is a safe and effective way to promote warmth and vasodilation in the feet without the risk of burns. By maintaining warmth, it helps to prevent vasospasm and promotes better collateral blood flow to the affected extremities, improving comfort and circulation.

Choice D rationale

Smoking causes intense vasoconstriction through nicotine's effects on the sympathetic nervous system and damages the endothelial lining of blood vessels, accelerating the atherosclerotic process. Quitting smoking is the single most effective intervention to slow the progression of PAD and reduce cardiovascular risk.