A nurse is teaching a patient diagnosed with psoriasis about disease management. Which statement made by the patient indicates a correct understanding of the condition?
"Psoriasis is a contagious skin disorder, so I should avoid close contact with others."
"Stress and hormonal changes can trigger flare-ups of my condition.”
“I will need to use antiviral medication to have some relief of the symptoms."
“I should use hot water and harsh soaps to remove the thick scales.”
The Correct Answer is B
A. "Psoriasis is a contagious skin disorder, so I should avoid close contact with others." Psoriasis is an autoimmune condition, not an infectious disease, so it is not contagious. Close contact does not spread the condition.
B. "Stress and hormonal changes can trigger flare-ups of my condition." Psoriasis flare-ups can be triggered by stress, hormonal changes, infections, and certain medications. Managing stress and other triggers can help reduce flare-ups.
C. “I will need to use antiviral medication to have some relief of the symptoms." Psoriasis is not caused by a viral infection, so antiviral medications are not an effective treatment. Treatment usually involves topical corticosteroids, phototherapy, and immunomodulatory medications.
D. “I should use hot water and harsh soaps to remove the thick scales.” Hot water and harsh soaps can worsen skin irritation and dryness, leading to increased inflammation and exacerbation of psoriasis symptoms. Instead, lukewarm water and mild, fragrance-free soaps should be used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assess for the presence of pedal pulses and capillary refill time: Compartment syndrome can lead to diminished or absent pulses, delayed capillary refill, and decreased circulation. Assessing pedal pulses and capillary refill is a crucial step in confirming the diagnosis.
B. Measure the patient’s calf circumference and compare it bilaterally: Measuring limb circumference can help assess swelling, but it is not the most critical assessment in this situation. Capillary refill and pedal pulses provide more immediate information about circulation.
C. Ask the patient to flex and extend the affected foot to assess for range of motion: Limited movement can be a sign of compartment syndrome, but if severe pain is already present, further movement may cause more damage. Assessing circulation should be prioritized first.
D. Check for redness and drainage at the pin sites of the external fixation device: Redness and drainage may indicate infection, but this does not directly assess for compartment syndrome. Circulatory assessment is more urgent.
Correct Answer is B
Explanation
A. Systemic lupus erythematosus (SLE): SLE can cause joint pain, but it is usually accompanied by systemic symptoms such as a butterfly rash, fatigue, and organ involvement.
B. Osteoarthritis (OA): Osteoarthritis pain typically worsens with activity and improves with rest. It commonly affects weight-bearing joints like the knees and hands.
C. Rheumatoid arthritis (RA): RA pain is usually worse in the morning and improves with movement. It also presents with joint swelling and systemic inflammation.
D. Gouty arthritis: Gout typically presents with acute, severe pain and redness, commonly affecting the big toe, rather than chronic worsening pain with activity.
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