A nurse is teaching a client who has psoriasis about possible treatment options. Which of the following treatments should the nurse include in the teaching? (Select all that apply)
Laser therapy
Corticosteroids
Tar preparations
Topical antibiotics
Ultraviolet light therapy
Correct Answer : A,B,C,E
Choice A rationale: Laser therapy, particularly excimer laser, is sometimes used for localized psoriasis lesions. It targets specific areas of affected skin without affecting surrounding healthy skin.
Choice B rationale: Corticosteroids are commonly used to reduce inflammation in psoriasis. They can help relieve itching, redness, and swelling associated with psoriatic lesions.
Choice C rationale: Tar preparations, such as coal tar, are another treatment option for psoriasis. They can help slow down the growth of skin cells, reduce inflammation, and alleviate scaling.
Choice D rationale: Topical antibiotics are not typically used in the treatment of psoriasis. Psoriasis is not primarily caused by a bacterial infection, and antibiotics would not address the underlying inflammatory process.
Choice E rationale: Ultraviolet (UV) light therapy, either natural sunlight or artificial UVB light, is a common treatment for psoriasis. Exposure to UV light can slow down the excessive growth of skin cells and reduce inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: pruritus is one of the symptoms of malignant melanoma, as well as changes in the shape, size, color, or texture of a mole or other skin lesion. However, pruritus is not specific to the disease and should always serve as a clue prompting further examination.
Choice B rationale: pain is a very rare symptom in malignant melanoma especially during the early stages of the disease. However, pain may occur in advanced stages of the disease when deeper tissues have been invaded and in cases of metastasis to distant sites.
Choice C rationale: purulent discharge is an indication of an underlying infection rather than malignant melanoma.
Choice D rationale: purplish skin discoloration is common in Kaposi’s sarcoma which manifests as purplish skin nodules rather than malignant melanoma. Furthermore, it may suggest bruising or bleeding under the skin. Malignant melanoma can have various colors, such as black, brown, red, blue, or white, depending on the type and amount of melanin produced by the tumor cells.
Correct Answer is C
Explanation
Choice A rationale: The nurse should not include any opinions, judgments, or blame in the incident report, as this could be used as evidence in a legal case. Therefore, the nurse should not question the charge nurse about care deficits.
Choice B rationale: The nurse should not include any opinions, judgments, or blame in the incident report, as this could be used as evidence in a legal case. Therefore, the nurse should not document what the nurse believes was the cause of ulcer development.
Choice C rationale: This is important because it provides factual information about the client's condition and perception of the event, which could help in identifying the factors that contributed to the ulcer development and preventing further complications.
Choice D rationale: Documenting in the client's medical record that the nurse completed an incident report is not the primary purpose of the incident report itself. Incident reports are internal documents used by the healthcare facility to track and investigate events. The documentation in the client's medical record should focus on the client's clinical condition, care provided, and response to treatment.
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