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Which of the following strategies should the nurse recommend to a patient with psoriasis to manage itchiness and discomfort?

A.

Take long, hot showers to soothe the skin.

B.

Apply petroleum-based ointments to affected areas.

C.

Wear tight-fitting clothing to prevent skin irritation.

D.

Use scented moisturizers for a pleasant fragrance.

Answer and Explanation

The Correct Answer is B

Explanation: Petroleum-based ointments can help seal in moisture and soothe the skin, reducing itchiness and discomfort associated with psoriasis.

Incorrect choices: a. "Take long, hot showers to soothe the skin." - Hot showers can actually worsen psoriasis symptoms by drying out the skin. Patients should take short, lukewarm showers instead.

c. "Wear tight-fitting clothing to prevent skin irritation." - Tight-fitting clothing can rub against the skin and worsen psoriasis symptoms. Patients should wear loose, breathable clothing.

d. "Use scented moisturizers for a pleasant fragrance." - Scented moisturizers may contain ingredients that can irritate the skin and trigger flare-ups. Unscented or fragrance-free moisturizers are recommended.


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Related Questions

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 C

Explanation

Explanation: The development of wheals and hives is not characteristic of psoriasis. Wheals and hives are associated with urticaria (hives), which is a separate skin condition caused by histamine release.

Incorrect choices: a. Pitting and ridging of the nails: Pitting and ridging of the nails are common nail changes seen in psoriasis and can aid in its diagnosis.

b. Koebner phenomenon upon skin trauma: The Koebner phenomenon, where new psoriatic lesions form at sites of skin trauma or injury, is a characteristic feature of psoriasis.

d. Silvery-white scales on erythematous plaques: Silvery-white scales on erythematous (red) plaques are a classic feature of psoriasis and help differentiate it from other skin conditions.

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