The nurse is caring for a patient with psoriasis who is prescribed phototherapy. Which information should the nurse provide to the patient about phototherapy?
"You should avoid any sun exposure during phototherapy treatment."
"Phototherapy may cause permanent skin darkening or tanning."
"Protect your eyes and genitals during phototherapy using special shields."
"Phototherapy may increase the risk of skin infections, so practice good hygiene."
The Correct Answer is C
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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Related Questions
Correct Answer is D
Explanation
Explanation: Chronic psoriasis is characterized by thickened, scaly plaques with silvery-white scales. These plaques result from the excessive growth and turnover of skin cells in psoriasis.
Incorrect choices: a. Generalized redness with no scaling: This description does not align with chronic psoriasis. Psoriasis plaques are typically scaly and have a characteristic appearance.
b. Pustules and fluid-filled blisters: Pustular psoriasis is a specific subtype of psoriasis characterized by pustules, but it is not a hallmark of chronic psoriasis.
c. Hyperpigmented patches with rough texture: Hyperpigmentation and rough texture are not typical features of chronic psoriasis. The characteristic feature is the presence of silvery-white scales on thickened plaques.
Correct Answer is A
Explanation
Explanation: Applying topical corticosteroids to affected areas can help reduce inflammation, itching, and discomfort associated with psoriasis. However, the nurse should ensure that the patient follows the prescribed dosage and instructions for the use of corticosteroids.
Incorrect choices: b. Encouraging the patient to scratch the affected areas gently is not appropriate, as scratching can exacerbate psoriasis and lead to skin damage and infection.
c. NSAIDs are not typically used to manage itching and discomfort in psoriasis. They may be prescribed for joint pain associated with psoriatic arthritis, but they do not target the skin symptoms of psoriasis.
d. While warm baths can be soothing, frequent baths may actually dry out the skin and worsen psoriasis. Additionally, the water should be lukewarm rather than hot to avoid triggering flare-ups.
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