The nurse is teaching a patient about psoriasis. Which statement by the patient indicates a need for further education?
"Psoriasis is a chronic skin condition that causes red, scaly patches on the skin."
"Psoriasis is an autoimmune disease that occurs when the body attacks healthy skin cells."
"Psoriasis is contagious and can be spread through direct contact with affected individuals."
"Treatment for psoriasis aims to reduce inflammation and slow down the rapid skin cell growth."
The Correct Answer is C
Explanation: Psoriasis is not contagious and cannot be spread through direct contact with affected individuals. It is an autoimmune disease where the immune system mistakenly attacks healthy skin cells, leading to the characteristic red, scaly patches on the skin.
Incorrect choices: a. This statement is correct. Psoriasis is a chronic skin condition that causes red, scaly patches on the skin.
b. This statement is correct. Psoriasis is indeed an autoimmune disease where the body's immune system attacks healthy skin cells.
d. This statement is correct. Treatment for psoriasis aims to reduce inflammation and slow down the rapid skin cell growth to manage the symptoms of the condition.
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Correct Answer is D
Explanation
Explanation: Adherence to prescribed treatment plans and attending follow-up appointments with healthcare providers are crucial for effectively managing psoriasis and preventing complications.
Incorrect choices: a. "Regularly scrubbing the affected areas to remove scaling." - Vigorous scrubbing can irritate the skin and worsen psoriasis symptoms. Gentle cleansing is recommended.
b. "Avoiding all forms of physical activity to prevent skin irritation." - Engaging in light physical activity is generally encouraged, as long as it does not exacerbate psoriasis symptoms.
c. "Using topical corticosteroids as needed without healthcare provider consultation." - It is essential for patients to follow their healthcare provider's instructions regarding the use of topical corticosteroids, as inappropriate or excessive use can lead to adverse effects.
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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