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    HESI PN Exit 2023 II Proctored Exam

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

    Explanation & Rationale

    The correct answer is Choice B Choice A rationale: Dermatologist referral is appropriate for severe or treatment-resistant acne, not first-line advice for mild to moderate adolescent acne. Choice B rationale: Daily cleansing with mild soap removes excess oil and bacteria, reducing clogged pores and inflammation without irritating the skin barrier. Choice C rationale: Expressing blackheads can damage follicles, increase inflammation, and risk scarring or infection, especially without sterile technique. Choice D rationale: Diet’s role in acne is inconclusive; while some foods may influence acne in sensitive individuals, evidence does not support blanket elimination of chocolate or fried foods.

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