Ch. 31: Acne

Question 1

The most common skin condition during adolescense

Answer 1

Acne

Question 2

Acne is self-limiting and non life-threatening. However, it poses a threat to ____ for adolescents

Answer 2

Self-image

Question 3

What does acne involve?

Answer 3

Pilosebaceous follicles (hair follicle and sebaceous gland complex) of the face, neck, chest, and upper back

Question 4

Is acne genetic?

Answer 4

May be

Question 5

Who is acne more common in?

Answer 5

Males

Question 6

____ may result in acne flares in females

Answer 6

Hormonal fluctuations

Question 7

The use of cosmetic products containing ingredients such as ____ and ___ may increase acne outbreaks

Answer 7

Petrolatum and lanolin

Question 8

T/F: Adolescents working at fast food restaurants may have an increased incidence of acne due to exposure to cooking grease.

Answer 8

True

Question 9

Lesions are either open (____) or closed (____).

Answer 9

Open: blackheads
Closed: whiteheads

Question 10

P. acnes may lead to inflammation manifesting as ___, ____, ___, or ___

Answer 10

Papules
Pustules
Nodules
Cysts

Question 11

How should child wash face?

Answer 11

Gently, avoid scrubbing and abrasive cleansers

Question 12

What do we monitor for in adolescents who are taking isotretinoin (13-cis-retinoic acid) [amnesteem]?

Answer 12

Monitors for signs of MOOD CHANGES and SUICIDAL IDEATION

Question 13

What does Tretinoin (Retin-A) do?

Answer 13

Interrupts abnormal keratinization that causes microcomedones (small lesions)

Question 14

Can tretinoin (retin-A) irritate skin?

Answer 14

Yes, instruct client to apply within 20-30 min AFTER washing case

Question 15

How much med of retin-A (tertinoin) is needed? When do they need to apply it?

Answer 15

PEA-SIZE about of medication and apply at NIGHT

Question 16

Avoid ____ if taking retin-A.

Answer 16

Sun exposure

Question 17

Use sunscreen (____) to avoid sunburn if taking retin-A

Answer 17

SPF 15 or greater