Which of the following strategies should the nurse recommend to a patient with psoriasis to manage itchiness and discomfort?
Take long, hot showers to soothe the skin.
Apply petroleum-based ointments to affected areas.
Wear tight-fitting clothing to prevent skin irritation.
Use scented moisturizers for a pleasant fragrance.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: Plaque psoriasis is the most common type of psoriasis, accounting for approximately 80-90% of all cases. It is characterized by the presence of raised, well-defined, erythematous (red) plaques with silvery-white scales.
Incorrect choices: a. Guttate psoriasis: Guttate psoriasis is characterized by small, teardrop-shaped lesions scattered on the skin, often following a streptococcal infection. It is less common than plaque psoriasis.
b. Inverse psoriasis: Inverse psoriasis affects skin folds, such as the armpits, groin, and under the breasts. It appears as smooth, red patches and is less common than plaque psoriasis.
d. Pustular psoriasis: Pustular psoriasis is a specific subtype characterized by pustules on the skin, but it is less common than plaque psoriasis.
Correct Answer is C
Explanation
Explanation: The primary assessment technique used to diagnose psoriasis is a physical examination of the skin. The characteristic red, raised patches with silver scales are indicative of psoriasis. While additional tests like skin biopsy may be used to confirm the diagnosis, the initial diagnosis is based on the visual appearance of the skin lesions.
Incorrect choices: a. A skin biopsy may be performed to confirm the diagnosis of psoriasis, but it is not the primary assessment technique used to diagnose the condition.
b. Blood tests may be conducted to rule out other conditions or assess for systemic involvement, but they are not the primary method of diagnosing psoriasis.
d. MRI is not a diagnostic tool for psoriasis. It may be used in certain cases to assess joint involvement in psoriatic arthritis, but it does not diagnose psoriasis itself.
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