The clinic nurse is reviewing self-care management of acne vulgaris with an adolescent client. Which client statement indicates a need for further instruction?

Question

The clinic nurse is reviewing self-care management of acne vulgaris with an adolescent client.  Which client statement indicates a need for further instruction?

Quizplus · Accepted Answer

11ecbb05_cae3_5821_b433_b3a24346cda6_MD0009_00 Acne vulgaris is a skin disorder characterized by obstructed sebaceous glands, which form comedones (ie, blackheads, whiteheads). Bacteria consume and metabolize the obstructed sebum, and the metabolic products cause inflammation, pustules, papules, and nodules. Acne usually develops during puberty, and multiple factors influence its development (eg, overgrowth of normal bacteria, heredity, stress, hormones). Treatment includes topical and oral medications such as tretinoin (Retin-A), benzoyl peroxide, isotretinoin (Accutane), and oral contraceptives. Antibacterial soaps are harsh and ineffective, increase the pH of the skin, and can dry the skin (Option A). The client should instead gently wash the face with a mild facial cleanser. Additional self-care measures include: Using noncomedogenic skin care products (ie, products that do not clog pores) to avoid creating new lesions (Option B) Maintaining a healthy lifestyle (eg, moderate exercise, balanced diet, adequate sleep) to reduce stress and promote healing (Option C) Refraining from squeezing, picking, and vigorously scrubbing lesions to prevent additional inflammation and worsening the acne (Option D) Educational objective: Acne vulgaris is a skin disorder that usually develops during puberty and is characterized by obstructed sebaceous glands; inflammation; and pustules, papules, and nodules. Antibacterial soaps dry the skin and are ineffective. The client should gently wash the face with a mild facial cleanser.

The Clinic Nurse Is Reviewing Self-Care Management of Acne Vulgaris