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 B
Explanation
Explanation: Psoriasis is an autoimmune skin disorder where the immune system mistakenly attacks healthy skin cells, leading to the rapid buildup of skin cells and the formation of red, scaly patches on the skin's surface.
Incorrect choices: a. A contagious bacterial skin infection - Psoriasis is not caused by bacteria, and it is not contagious.
c. A fungal infection causing itching and rash - Psoriasis is not caused by a fungus; it is an autoimmune condition.
d. A viral skin condition resulting in fluid-filled blisters - Psoriasis does not result in fluid-filled blisters; it presents as red, scaly patches instead.
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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