A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which recommendation should the PN provide?

A. Referral to a dermatologist may be appropriate for severe or persistent acne, but it is not the first-line recommendation for typical adolescent acne. Initial management usually involves basic skin care measures before escalating treatment. B. Washing the hair and skin daily with mild soap and warm water helps remove excess oil, dirt, and bacteria that contribute to acne formation. Gentle cleansing supports skin health without causing irritation that could worsen acne. C. Expressing blackheads can damage the skin and increase the risk of infection, inflammation, and scarring. Mechanical manipulation of lesions often worsens acne rather than improving it. D. While diet may influence acne in some individuals, eliminating specific foods such as chocolate or fried foods is not a universally effective or evidence-based primary recommendation. Proper skin hygiene remains the cornerstone of initial acne management.