Which of the following is an indication that a client may have rosacea?

Flushing in response to triggers is a classic indication of rosacea. Rosacea often manifests as intense redness on the cheeks, nose, forehead, and chin, which can be exacerbated by various triggers such as spicy foods, hot beverages, stress, and temperature changes. This flushing is different from the typical redness that might accompany other skin conditions, as it often comes with an increased sensitivity to certain stimuli.

Presence of pustules, while it can occur in rosacea (particularly in the subtype known as papulopustular rosacea), is more commonly associated with acne. Dark spots on the skin, or hyperpigmentation, are not typically indicative of rosacea; they are more frequently linked to post-inflammatory hyperpigmentation from acne or sun damage. Frequent acne breakouts are characteristic of acne vulgaris rather than rosacea, as the two conditions, while they can present similarly, have different underlying causes and treatment approaches.