The nurse is providing education to a patient with psoriasis about potential triggers that can worsen the condition. Which statement by the patient indicates a need for further education?

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.

Explanation: Keeping the skin well-hydrated is essential in managing psoriasis. Patients should use fragrance-free moisturizers to prevent skin dryness and irritation, which can trigger flare-ups.

Incorrect choices: a. "Avoid using moisturizers, as they can worsen psoriasis flare-ups." - This statement is incorrect. Moisturizers are important for managing psoriasis symptoms and preventing dryness and irritation.

b. "Take hot baths with scented soaps to soothe the skin." - Hot baths and scented soaps can actually worsen psoriasis symptoms and should be avoided.

d. "Expose your skin to direct sunlight for prolonged periods to improve symptoms." - While some sunlight exposure may benefit psoriasis, prolonged and direct exposure can lead to skin damage and increase the risk of skin cancer. Sun exposure should be limited and done with caution.