A nurse is teaching a patient diagnosed with psoriasis about disease management. Which statement made by the patient indicates a correct understanding of the condition?
"Psoriasis is a contagious skin disorder, so I should avoid close contact with others."
"Stress and hormonal changes can trigger flare-ups of my condition.”
“I will need to use antiviral medication to have some relief of the symptoms."
“I should use hot water and harsh soaps to remove the thick scales.”
The Correct Answer is B
A. "Psoriasis is a contagious skin disorder, so I should avoid close contact with others." Psoriasis is an autoimmune condition, not an infectious disease, so it is not contagious. Close contact does not spread the condition.
B. "Stress and hormonal changes can trigger flare-ups of my condition." Psoriasis flare-ups can be triggered by stress, hormonal changes, infections, and certain medications. Managing stress and other triggers can help reduce flare-ups.
C. “I will need to use antiviral medication to have some relief of the symptoms." Psoriasis is not caused by a viral infection, so antiviral medications are not an effective treatment. Treatment usually involves topical corticosteroids, phototherapy, and immunomodulatory medications.
D. “I should use hot water and harsh soaps to remove the thick scales.” Hot water and harsh soaps can worsen skin irritation and dryness, leading to increased inflammation and exacerbation of psoriasis symptoms. Instead, lukewarm water and mild, fragrance-free soaps should be used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Apply an antibiotic ointment and reassess in two weeks. SCC is a form of skin cancer and requires biopsy for diagnosis. Simply applying an antibiotic and waiting could delay necessary treatment.
B. Refer the patient to a dermatologist for a biopsy. The priority action for a suspicious lesion that does not heal is to refer the patient for biopsy and further evaluation, as early detection and treatment of SCC are crucial.
C. Reassure the patient that the lesion is benign and monitor for changes. SCC can be aggressive if untreated, and assuming benignity without biopsy could result in delayed diagnosis and worsening prognosis.
D. Educate the patient on proper wound care and sun protection. While wound care and sun protection are important, the priority is obtaining a definitive diagnosis through biopsy.
Correct Answer is B
Explanation
A. “I can bend my hip beyond 90 degrees as long as I feel comfortable." Flexing the hip beyond 90 degrees increases the risk of hip dislocation.
B. “I should avoid turning onto my operative side to prevent hip dislocation." Lying on the operative side increases pressure on the hip joint and can lead to dislocation or delayed healing.
C. “I don't need to use a pillow or abduction device between my legs when turning." An abduction pillow or device is necessary to keep the legs apart and prevent hip adduction, which can lead to dislocation.
D. “I should cross my legs when sitting to keep my hip stable." Crossing the legs can cause internal rotation and hip dislocation.
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