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The nurse is caring for a patient with psoriasis and notices the presence of "Auspitz sign" during the assessment. What does this finding indicate?

A.

Increased bleeding tendency in the patient.

B.

Presence of skin pustules and blisters.

C.

Formation of deep fissures in the skin.

D.

Presence of pinpoint bleeding when scales are removed.

Answer and Explanation

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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Related Questions

Correct Answer is C

Explanation

Explanation: Phototherapy involves exposing the skin to UV light to treat psoriasis. During phototherapy sessions, patients should wear special shields to protect their eyes and genitals from potential UV damage.

Incorrect choices: a. Patients undergoing phototherapy are actually exposed to controlled amounts of UV light, which is different from uncontrolled sun exposure. Phototherapy is a prescribed treatment and should be done under healthcare professional supervision.

b. While phototherapy may cause temporary skin darkening or tanning, it is not associated with permanent changes in skin color.

d. Phototherapy does not increase the risk of skin infections. However, patients with psoriasis should practice good hygiene to prevent infections related to their condition and skin care routine.

Correct Answer is A

Explanation

Explanation: Psoriasis commonly affects the scalp and nails in addition to other areas of the body. Scalp psoriasis can cause flaking and scale buildup on the scalp, while nail psoriasis can lead to pitting, discoloration, and thickening of the nails.

Incorrect choices: b. Buttocks and thighs: While psoriasis can occur in these areas, it is not one of the most common areas affected.

c. Lower back and shoulders: These areas can be affected by psoriasis, but they are not the most commonly affected regions.

d. Upper arms and neck: Psoriasis can occur on the upper arms and neck, but it is not the most frequently affected area.

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