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: Psoriasis commonly presents as red, scaly, and thickened patches on the skin. These patches can be itchy, painful, and sometimes crack and bleed.
Incorrect choices: a. Smooth and pink patches on the skin - This is not characteristic of psoriasis, which typically involves scaling and thickening of the skin.
b. Flaky, white patches on the skin - This is not typical of psoriasis; the patches are usually red and scaly.
d. Raised, flesh-colored bumps on the skin - This description does not match the typical appearance of psoriasis patches.
Correct Answer is C
Explanation
Explanation: Environmental factors such as stress, trauma, infections, and certain medications are considered triggers that can worsen psoriasis symptoms in individuals who are already genetically predisposed to the condition. These triggers can lead to psoriasis flare-ups or worsen existing plaques.
Incorrect choices: a. Primary cause of psoriasis: Environmental factors are not the primary cause of psoriasis. While they can influence the severity of symptoms, the condition itself is primarily driven by genetic factors and immune system dysfunction.
b. Minor role with no significant impact: Environmental triggers are not minor in psoriasis etiology. They can have a significant impact on symptom severity and recurrence in susceptible individuals.
d. Protective factors against developing psoriasis: Environmental factors are not protective against developing psoriasis. As an autoimmune condition, psoriasis is primarily influenced by genetic predisposition and immune system dysfunction, not by protective environmental factors.
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