Which nursing intervention is appropriate for a patient with psoriasis?
Encouraging the patient to pick or scratch the affected areas for relief.
Applying hot packs to the skin lesions to soothe itching.
Recommending a diet high in spicy and acidic foods to promote healing.
Educating the patient about the importance of moisturizing the skin regularly
The Correct Answer is D
Explanation: Moisturizing the skin is essential for managing psoriasis and preventing dryness and scaling. Regular use of moisturizers helps maintain skin hydration and reduce the discomfort associated with psoriasis.
Incorrect choices: a. Encouraging the patient to pick or scratch the affected areas can worsen psoriasis and lead to skin damage and infection.
b. Applying hot packs to the skin lesions can exacerbate psoriasis and should be avoided. Lukewarm or cool packs may provide relief for some patients.
c. A diet high in spicy and acidic foods is not recommended for psoriasis patients, as certain foods may trigger flare-ups or exacerbate symptoms. A well-balanced, anti-inflammatory diet is more appropriate for psoriasis management.
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Correct Answer is D
Explanation
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.
Correct Answer is A
Explanation
Explanation: While sunlight can improve psoriasis symptoms in some individuals, direct exposure for extended periods can lead to skin damage and increase the risk of skin cancer. Sunscreen and limited sun exposure are advised.
Incorrect choices: b. "Applying emollients or moisturizers regularly." - Regular application of emollients or moisturizers is important for keeping the skin hydrated and preventing dryness and irritation, which can exacerbate psoriasis.
c. "Engaging in outdoor physical activities." - Engaging in light physical activities is generally encouraged, as long as it does not worsen psoriasis symptoms.
d. "Frequent application of alcohol-based hand sanitizers." - Alcohol-based hand sanitizers can dry out the skin and may irritate psoriasis lesions. It is better to use gentle, non-irritating handwashing techniques.
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