California Cosmetology Written ExamClient Consultation and AnalysisMedium
A client presents with dry, red, intensely itchy patches of skin on the hairline that occasionally crack, but shows no oozing, pus, or signs of infection. The client states a dermatologist previously diagnosed this as a chronic, non-contagious skin condition. What should the cosmetologist do?
- APerform the service only after applying antibiotic ointment to the patches
- BRefuse all services immediately and send the client home
- CProceed with the service, avoiding direct contact with the irritated area if possible
- DIgnore the condition since it was previously diagnosed and treat the scalp as normal
Show answer & explanationAnswer & explanation
Correct answer: C. Proceed with the service, avoiding direct contact with the irritated area if possible
Since the client's eczema/dermatitis is a diagnosed, non-contagious chronic condition without open sores or infection, the cosmetologist may proceed with the service while being careful to avoid further irritating the affected area with harsh chemicals or friction.
Why the other options are wrong
- A. Applying medication is outside a cosmetologist's scope of practice.
- B. Total refusal is unnecessary for a non-contagious, previously diagnosed condition with intact skin.
- D. Ignoring the condition risks aggravating it with chemicals or heat.
Eczema/Dermatitis Contraindication
Eczema is a chronic, non-contagious inflammatory skin condition causing dry, red, itchy patches; services may proceed with care to avoid irritating affected areas.
- Non-contagious, unlike fungal or bacterial conditions
- Avoid chemicals or friction on inflamed areas
- Refer to physician only if condition is undiagnosed or worsening
Memory trick: 'Eczema stays, but keep chemicals away' from the irritated patch.