The nurse is caring for a patient with psoriasis who is prescribed an immunosuppressive medication. Which information should the nurse include in the patient's teaching plan?
"Report any signs of infection or illness to your healthcare provider immediately."
"You can take this medication with or without food, depending on your preference."
"Immunosuppressive medications may increase your risk of sunburn, so avoid sun exposure."
"You may need to discontinue the medication abruptly if you experience side effects."
The Correct Answer is A
Explanation: Immunosuppressive medications can weaken the immune system, making the patient more susceptible to infections. It is important for the patient to promptly report any signs of infection or illness to their healthcare provider for appropriate management.
Incorrect choices: b. The administration of immunosuppressive medications is often specific to each medication and should be taken as prescribed by the healthcare provider, with or without food, as indicated.
c. Immunosuppressive medications can increase the risk of infections, but they do not directly increase the risk of sunburn. Patients should, however, be cautious about sun exposure due to potential skin sensitivity.
d. Discontinuing immunosuppressive medications abruptly can be dangerous and should only be done under the guidance of a healthcare provider. Sudden discontinuation can lead to worsening of psoriasis and potential rebound effects.
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Related Questions
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.
Correct Answer is C
Explanation
Explanation: Phototherapy involves exposing the skin to UV light to treat psoriasis. During phototherapy sessions, patients should wear special shields to protect their eyes and genitals from potential UV damage.
Incorrect choices: a. Patients undergoing phototherapy are actually exposed to controlled amounts of UV light, which is different from uncontrolled sun exposure. Phototherapy is a prescribed treatment and should be done under healthcare professional supervision.
b. While phototherapy may cause temporary skin darkening or tanning, it is not associated with permanent changes in skin color.
d. Phototherapy does not increase the risk of skin infections. However, patients with psoriasis should practice good hygiene to prevent infections related to their condition and skin care routine.
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