The nurse is caring for a patient with psoriasis. Which assessment finding is consistent with psoriasis?
Clear and smooth skin without any changes.
Red and raised skin patches with silver scales.
Skin rash with fluid-filled blisters.
Purple or red lumps under the skin.
The Correct Answer is B
Explanation: Psoriasis is characterized by red and raised skin patches covered with silver or white scales. These patches are often itchy and can be found on various parts of the body, such as the scalp, elbows, knees, and lower back.
Incorrect choices: a. Clear and smooth skin without any changes is not consistent with psoriasis, which is marked by visible skin changes like red, raised patches.
c. Skin rash with fluid-filled blisters may indicate conditions such as contact dermatitis or eczema but is not typical of psoriasis.
d. Purple or red lumps under the skin are more suggestive of other conditions, such as nodules or hematomas, rather than psoriasis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: Fatigue and malaise are common symptoms experienced by individuals with psoriasis. The chronic inflammation and immune system dysregulation in psoriasis can lead to feelings of tiredness and general discomfort.
Incorrect choices: a. Persistent fever and chills: Fever and chills are not typical symptoms of psoriasis. They may indicate an infection or other underlying health condition.
b. Frequent nosebleeds: Nosebleeds are not directly associated with psoriasis. They may be caused by other factors such as nasal dryness or irritation.
d. Excessive thirst and frequent urination: These symptoms are not typically related to psoriasis. They may be indicative of diabetes or other medical conditions.
Correct Answer is B
Explanation
Explanation: Psoriasis is characterized by the presence of itchy, raised, red patches on the skin with silvery scales. These patches are known as plaques and are a hallmark feature of psoriasis.
Incorrect choices: a. Painful, deep ulcers on the skin: This description does not align with psoriasis. Psoriasis plaques are not typically painful or ulcerated.
c. Small, fluid-filled blisters on the palms and soles: This description is more characteristic of a condition called palmoplantar pustulosis, not psoriasis.
d. Thickened, hardened skin with deep cracks: This description is more typical of a condition called lichenified eczema or chronic contact dermatitis, not psoriasis.
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