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 D
Explanation
A. While anxiety and withdrawal are concerning, they may not require immediate intervention compared to behaviors that pose risks to the child or others.
B. A stable child with a concerned parent may benefit from reassurance and support, but they do not require urgent intervention.
C. Stomach pain without an apparent cause should be assessed, but it may not be as urgent as aggressive behavior that can harm others.
D. A child exhibiting aggressive behavior poses a risk to themselves and others, necessitating immediate assessment and intervention to ensure safety and manage the behavior effectively.
Correct Answer is C
Explanation
A. Montelukast is a leukotriene receptor antagonist used for long-term management and prevention of asthma symptoms, not for acute relief.
B. Budesonide is an inhaled corticosteroid used for long-term control of asthma but does not provide immediate relief during an acute attack.
C. Albuterol is a short-acting beta-agonist (SABA) that provides rapid bronchodilation and is the first-line medication for relieving acute asthma symptoms.
D. Fluticasone is also an inhaled corticosteroid intended for long-term management, which does not address the immediate needs of an acute asthma attack.