The nurse is teaching a group of adolescents about care for acne vulgaris. The nurse should include (Select all that apply.)
1. wash skin with mild soap and watertwice a day.
2. use astringents and vigorousscrubbing.
3. avoid picking or squeezing thelesions.
4. apply tretinoin (Retin-A) liberally.
5. avoid sun exposure if on tetracycline.
Answer:1,3,5
Rationale: The adolescent should be taught to wash skin with mild soap and water twice a day,to avoid picking or squeezing acne lesions,and to avoid sun exposure if on tetracycline.Using astringents and scrubbing vigorously can exacerbate acne. Tretinoin (Retin-A) should be applied sparingly (pea-size doses).
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