The nurse is teaching a patient about psoriasis. Which statement by the patient indicates a need for further education?

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.

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.