The nurse is caring for a patient with psoriasis who is prescribed a topical retinoid. Which instruction should the nurse provide to the patient regarding the use of topical retinoids?
"Apply the topical retinoid directly to wet skin after bathing."
"Use the topical retinoid only on affected areas of psoriasis plaques."
"You may experience immediate relief of itching and redness after applying the retinoid."
"Avoid sun exposure and use sunscreen when using topical retinoids."
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: The development of wheals and hives is not characteristic of psoriasis. Wheals and hives are associated with urticaria (hives), which is a separate skin condition caused by histamine release.
Incorrect choices: a. Pitting and ridging of the nails: Pitting and ridging of the nails are common nail changes seen in psoriasis and can aid in its diagnosis.
b. Koebner phenomenon upon skin trauma: The Koebner phenomenon, where new psoriatic lesions form at sites of skin trauma or injury, is a characteristic feature of psoriasis.
d. Silvery-white scales on erythematous plaques: Silvery-white scales on erythematous (red) plaques are a classic feature of psoriasis and help differentiate it from other skin conditions.
Correct Answer is D
Explanation
Explanation: Psoriasis lesions commonly appear in a symmetrical pattern, affecting similar areas on both sides of the body. For example, if a plaque is present on the right elbow, there is a high likelihood of a corresponding plaque on the left elbow.
Incorrect choices: a. Psoriasis lesions are evenly distributed across the body: Psoriasis lesions are not evenly distributed and tend to cluster in certain areas, such as elbows, knees, scalp, and lower back.
b. Psoriasis lesions are typically limited to the face and neck: While psoriasis can occur on the face and neck, it is more commonly found on extensor surfaces (elbows and knees) and the scalp.
c. Psoriasis lesions are more commonly found on the left side of the body: There is no evidence to support a preference for the left side of the body in psoriasis distribution. The symmetrical pattern is a more characteristic feature.
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