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 C
Explanation
A. Secondary prevention involves early detection and prompt intervention in health issues that have already occurred; providing education about stress does not fall under this category.
B. Suicide prevention is a specific aspect of mental health care and is not directly related to general stress education.
C. Primary prevention aims to prevent the onset of health issues and promote health and well-being, making the education on stress and its effects a form of primary prevention.
D. Tertiary prevention focuses on rehabilitation and management of existing diseases, which does not apply to teaching about stress effects.
Correct Answer is A
Explanation
A. Furosemide is a loop diuretic that can cause potassium loss; therefore, it is essential for the child to eat potassium-rich foods to prevent hypokalemia.
B. Taking furosemide at bedtime is not advisable due to the increased risk of nocturia and sleep disturbances from frequent urination.
C. Aspirin is not recommended without medical guidance, especially for children, as it can increase the risk of Reye's syndrome.
D. Expecting swelling in the hands and feet contradicts the purpose of furosemide, which is to reduce fluid overload; parents should report any unexpected swelling to the healthcare provider.