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: 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.

Explanation: A skin biopsy is commonly performed to confirm the diagnosis of psoriasis. It involves taking a small sample of skin tissue from a psoriatic plaque and examining it under a microscope to identify the characteristic histological changes, such as hyperkeratosis, parakeratosis, and elongation of the rete ridges.

Incorrect choices: a. Skin patch testing for allergens: Patch testing is used to diagnose allergic contact dermatitis, not psoriasis.

b. Chest X-ray to assess lung involvement: Chest X-rays are not necessary for the diagnosis of psoriasis, as it primarily affects the skin and joints, not the lungs.

c. Complete blood count (CBC) to assess white blood cell count: While a CBC may be performed to assess inflammation, it is not specific to psoriasis and cannot confirm the diagnosis. A skin biopsy is needed for definitive diagnosis.