Texas Cosmetology Operator Written ExamSanitation, Disinfection, and SafetyMedium

A cosmetologist is performing a manicure and notices that the client has several small, inflamed lesions with pus on their finger. The client states these are 'just little pimples.' What is the MOST appropriate action for the cosmetologist to take?

  1. AApply an antiseptic to the lesions and then continue the service.
  2. BSuggest the client cover the lesions with a bandage before beginning the service.
  3. CProceed with the manicure, being careful to avoid the lesions.
  4. DRefuse service on the affected area and explain why, directing the client to a physician.
Show answer & explanation

Correct answer: D. Refuse service on the affected area and explain why, directing the client to a physician.

Inflamed lesions with pus are indicative of a local infection. Cosmetologists are prohibited from performing services on clients with open sores or infections to prevent the spread of disease and protect both the client and the cosmetologist. The client should be advised to seek medical attention.

Why the other options are wrong

  • A. Cosmetologists are not permitted to diagnose or treat skin conditions, and an antiseptic may not be sufficient or appropriate.
  • B. Covering the lesions does not eliminate the risk of spreading infection, especially during a service like a manicure.
  • C. This risks spreading the infection to other areas of the client's skin or to the cosmetologist.

Refusal of Service (Infections)

Cosmetologists must refuse service on areas with visible signs of infection (e.g., inflamed lesions with pus) to prevent disease transmission and should advise clients to seek medical attention.

  • Prevents cross-contamination.
  • Protects client and cosmetologist.
  • Cosmetologists cannot diagnose or treat infections.
  • Refer client to a medical professional.

Memory trick: Pus or pain, no service gain, for health's sake, refrain!

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