The nurse is caring for a patient with psoriasis and notices the presence of "Auspitz sign" during the assessment. What does this finding indicate?
Increased bleeding tendency in the patient.
Presence of skin pustules and blisters.
Formation of deep fissures in the skin.
Presence of pinpoint bleeding when scales are removed.
The Correct Answer is D
Explanation: Auspitz sign is a characteristic finding in psoriasis where pinpoint bleeding occurs when scales on the skin are removed. It is caused by the rapid growth and shedding of skin cells, which leads to the formation of delicate blood vessels that bleed easily.
Incorrect choices: a. Auspitz sign is not related to increased bleeding tendency in the patient; it is specific to psoriasis and its characteristic skin changes.
b. Presence of skin pustules and blisters is not associated with Auspitz sign and may indicate other skin conditions.
c. Formation of deep fissures in the skin is not directly related to Auspitz sign, which focuses on the bleeding after scale removal.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation: Topical retinoids can increase the skin's sensitivity to sunlight and may cause sunburn. Patients should avoid excessive sun exposure and use sunscreen to protect their skin when using topical retinoids.
Incorrect choices: a. Topical retinoids should be applied to dry skin, not wet skin, to ensure proper absorption and effectiveness.
b. Topical retinoids are typically applied to the entire affected area, not just individual psoriasis plaques. They work best when applied consistently to the entire affected area.
c. Topical retinoids may take several weeks to show significant improvement in psoriasis symptoms, and immediate relief is not typical.
Correct Answer is C
Explanation
Explanation: The primary assessment technique used to diagnose psoriasis is a physical examination of the skin. The characteristic red, raised patches with silver scales are indicative of psoriasis. While additional tests like skin biopsy may be used to confirm the diagnosis, the initial diagnosis is based on the visual appearance of the skin lesions.
Incorrect choices: a. A skin biopsy may be performed to confirm the diagnosis of psoriasis, but it is not the primary assessment technique used to diagnose the condition.
b. Blood tests may be conducted to rule out other conditions or assess for systemic involvement, but they are not the primary method of diagnosing psoriasis.
d. MRI is not a diagnostic tool for psoriasis. It may be used in certain cases to assess joint involvement in psoriatic arthritis, but it does not diagnose psoriasis itself.
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