The nurse is caring for a patient with psoriasis who is experiencing itching and discomfort. Which nursing intervention is appropriate to address the patient's symptoms?
Apply topical corticosteroids liberally to affected areas.
Encourage the patient to scratch the affected areas gently to relieve itching.
Administer non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
Advise the patient to take frequent warm baths to soothe the skin.
The Correct Answer is A
Explanation: Applying topical corticosteroids to affected areas can help reduce inflammation, itching, and discomfort associated with psoriasis. However, the nurse should ensure that the patient follows the prescribed dosage and instructions for the use of corticosteroids.
Incorrect choices: b. Encouraging the patient to scratch the affected areas gently is not appropriate, as scratching can exacerbate psoriasis and lead to skin damage and infection.
c. NSAIDs are not typically used to manage itching and discomfort in psoriasis. They may be prescribed for joint pain associated with psoriatic arthritis, but they do not target the skin symptoms of psoriasis.
d. While warm baths can be soothing, frequent baths may actually dry out the skin and worsen psoriasis. Additionally, the water should be lukewarm rather than hot to avoid triggering flare-ups.
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Correct Answer is D
Explanation
Explanation: Taking long, hot baths can actually worsen psoriasis by drying out the skin and triggering flare-ups. Instead, patients with psoriasis should take short, lukewarm baths or showers to avoid exacerbating the condition.
Incorrect choices: a. Moisturizing the skin regularly is an essential part of psoriasis management to prevent dryness and scaling.
b. Avoiding fragranced soaps and lotions can help minimize skin irritation and sensitivity, which is beneficial for patients with psoriasis.
c. Applying sunscreen before going outside is important, as exposure to UV rays can trigger or worsen psoriasis. Sun protection helps prevent further skin damage.
Correct Answer is B
Explanation
Explanation: Petroleum-based ointments can help seal in moisture and soothe the skin, reducing itchiness and discomfort associated with psoriasis.
Incorrect choices: a. "Take long, hot showers to soothe the skin." - Hot showers can actually worsen psoriasis symptoms by drying out the skin. Patients should take short, lukewarm showers instead.
c. "Wear tight-fitting clothing to prevent skin irritation." - Tight-fitting clothing can rub against the skin and worsen psoriasis symptoms. Patients should wear loose, breathable clothing.
d. "Use scented moisturizers for a pleasant fragrance." - Scented moisturizers may contain ingredients that can irritate the skin and trigger flare-ups. Unscented or fragrance-free moisturizers are recommended.
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