The nurse is teaching a group of adolescents about care for acne vulgaris. Which interventions will the nurse include in the teaching session?
1. Wash skin with mild soap and water twice a day.
2. Use astringents and vigorous scrubbing.
3. Avoid picking or squeezing the lesions.
4. Apply tretinoin (Retin-A) liberally.
5. Avoid sun exposure if on tetracycline.
Correct 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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