The community health nurse is planning an education program for adolescents about skin care for acne vulgaris. Which of the following teaching points are appropriate to include? Select all that apply.

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11ecbb05_cae4_6992_b433_a99456f8417b_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, nutrition). Home management and self-care measures include: Maintaining a healthy lifestyle (eg, moderate exercise, balanced diet, adequate sleep) to reduce stress and promote healing (Option A) Avoiding antibacterial soaps because they are harsh and can increase the pH of skin and dry it out; instead, using a mild cleanser (Option B) Refraining from squeezing or picking lesions, which increases inflammation and scar formation (Option D) Using noncomedogenic skin care products (ie, products that do not clog pores) to avoid creating new lesions (Option E) (Option C) Clients should gently cleanse the skin and refrain from vigorously scrubbing lesions to prevent additional inflammation and worsening of the acne. Educational objective: Acne vulgaris usually develops during puberty and is characterized by obstructed sebaceous glands (comedones); inflammation; and pustules, papules, and nodules. Home care includes maintaining a healthy lifestyle, gently cleansing the skin with mild cleansers, and using noncomedogenic products. Clients should avoid squeezing, picking, and vigorously scrubbing lesions and should not use antibacterial soaps.

The Community Health Nurse Is Planning an Education Program for Adolescents