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: 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.

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.