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.
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Related Questions
Correct Answer is C
Explanation
Explanation: Psoriasis is an autoimmune disorder characterized by an overactive immune system. In psoriasis, the immune system mistakenly triggers inflammation, leading to the rapid growth of skin cells and the formation of plaques.
Incorrect choices: a. Immune system suppresses inflammation and skin cell proliferation: This statement is incorrect. In psoriasis, the immune system does not suppress inflammation but rather promotes it.
b. Immune system responds normally to environmental triggers: This statement is incorrect. In psoriasis, the immune system's response to triggers is abnormal, leading to the characteristic inflammation and skin cell overgrowth.
d. Immune system functions independently of psoriasis development: This statement is incorrect. The immune system plays a central role in psoriasis etiology. The abnormal immune response is the driving force behind the development and progression of psoriasis.
Correct Answer is D
Explanation
Explanation: Adherence to prescribed treatment plans and attending follow-up appointments with healthcare providers are crucial for effectively managing psoriasis and preventing complications.
Incorrect choices: a. "Regularly scrubbing the affected areas to remove scaling." - Vigorous scrubbing can irritate the skin and worsen psoriasis symptoms. Gentle cleansing is recommended.
b. "Avoiding all forms of physical activity to prevent skin irritation." - Engaging in light physical activity is generally encouraged, as long as it does not exacerbate psoriasis symptoms.
c. "Using topical corticosteroids as needed without healthcare provider consultation." - It is essential for patients to follow their healthcare provider's instructions regarding the use of topical corticosteroids, as inappropriate or excessive use can lead to adverse effects.
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