The nurse is educating a patient with psoriasis about skin care to manage the condition. Which statement by the patient indicates a need for further teaching?
"I will moisturize my skin regularly to prevent dryness and scaling."
"I will avoid using fragranced soaps and lotions on my skin."
"I will apply sunscreen before going outside to protect my skin from UV rays."
"I will take long, hot baths to soften the psoriatic plaques for easier removal."
The Correct Answer is D
Explanation: Taking long, hot baths can actually worsen psoriasis by drying out the skin and triggering flare-ups. Instead, patients with psoriasis should take short, lukewarm baths or showers to avoid exacerbating the condition.
Incorrect choices: a. Moisturizing the skin regularly is an essential part of psoriasis management to prevent dryness and scaling.
b. Avoiding fragranced soaps and lotions can help minimize skin irritation and sensitivity, which is beneficial for patients with psoriasis.
c. Applying sunscreen before going outside is important, as exposure to UV rays can trigger or worsen psoriasis. Sun protection helps prevent further skin damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Explanation: Psoriasis is an autoimmune disorder in which T-cells, a type of white blood cell, become overactive and trigger an inflammatory response. These T-cells promote the rapid growth of skin cells, leading to the characteristic plaques seen in psoriasis.
Incorrect choices: b. B-cells: While B-cells are important components of the immune system, they are not primarily involved in the etiology of psoriasis. T-cells are the central players in the autoimmune response seen in psoriasis.
c. Platelets: Platelets are primarily responsible for blood clotting and are not directly related to the development of psoriasis.
d. Eosinophils: Eosinophils are a type of white blood cell involved in immune responses against parasitic infections and allergic reactions. While they are important in certain immune processes, they are not the main players in psoriasis etiology.
Correct Answer is B
Explanation
Explanation: Petroleum-based ointments can help seal in moisture and soothe the skin, reducing itchiness and discomfort associated with psoriasis.
Incorrect choices: a. "Take long, hot showers to soothe the skin." - Hot showers can actually worsen psoriasis symptoms by drying out the skin. Patients should take short, lukewarm showers instead.
c. "Wear tight-fitting clothing to prevent skin irritation." - Tight-fitting clothing can rub against the skin and worsen psoriasis symptoms. Patients should wear loose, breathable clothing.
d. "Use scented moisturizers for a pleasant fragrance." - Scented moisturizers may contain ingredients that can irritate the skin and trigger flare-ups. Unscented or fragrance-free moisturizers are recommended.
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