A nurse is advising a 15-year-old boy on managing acne during puberty. Which of the following recommendations is most appropriate?
"Avoid all oily foods to prevent acne."
"Pop pimples to reduce their size."
"Use strong astringents to dry out your skin."
"Wash your face with a gentle cleanser twice a day."
The Correct Answer is D
A. Avoiding all oily foods is not necessary, as dietary factors have varying effects on acne; instead, moderation is key.
B. Popping pimples can lead to scarring, infection, and further inflammation, making this an inappropriate recommendation for acne management.
C. Using strong astringents can irritate the skin and worsen acne; gentle skin care is more effective for maintaining healthy skin.
D. Washing the face with a gentle cleanser twice a day helps to remove excess oil and dirt without irritating the skin, which is the most appropriate recommendation for managing acne during puberty.
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Correct Answer is B
Explanation
A. This statement is incorrect; the spacer does not primarily increase medication delivery to the oropharynx.
B. The spacer helps to increase the amount of medication that reaches the lungs by allowing larger particles to settle out and preventing them from being deposited in the mouth and throat.
C. Inhaling slowly and deeply is recommended for effective medication delivery when using an MDI with a spacer.
D. Covering the exhalation slots would prevent proper airflow and could cause the child to inhale exhaled air, which is not recommended during inhalation.
Correct Answer is ["C","D"]
Explanation
A. The child should avoid tub baths or submerging in water for several days post-procedure to reduce the risk of infection and keep the catheter site dry; sponge baths are usually recommended.
B. Keeping the child home for an entire week may be excessive; the duration of home care typically depends on the child's recovery, and many children can return to school sooner if they feel well.
C. Offering clear liquids for the first 24 hours helps ensure the child stays hydrated and allows for easier digestion following anesthesia or sedation.
D. Giving acetaminophen for discomfort is appropriate, as it can help manage any pain or discomfort the child may experience after the procedure, and is usually a recommended practice.