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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: The Auspitz sign refers to the appearance of tiny bleeding points when the scales on psoriatic plaques are removed or scraped. This sign is a characteristic feature of psoriasis and helps differentiate it from other skin conditions.
Incorrect choices: a. Moist, oozing skin lesions: Moist, oozing lesions are not typical of psoriasis. Psoriasis plaques are dry and scaly in nature.
b. Dark, hyperpigmented patches: Hyperpigmentation is not a characteristic feature of psoriasis. Psoriatic plaques are typically erythematous (red) with silvery-white scales.
d. Translucent, fluid-filled blisters: Translucent, fluid-filled blisters are not typically associated with psoriasis. This description is more consistent with a condition called pemphigus, not psoriasis.
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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