The nurse is assessing a patient with suspected psoriasis. What is the primary assessment technique used to diagnose psoriasis?
Skin biopsy.
Blood test.
Physical examination.
Magnetic resonance imaging (MRI).
The Correct Answer is C
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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Related Questions
Correct Answer is A
Explanation
Explanation: Applying topical corticosteroids to affected areas can help reduce inflammation, itching, and discomfort associated with psoriasis. However, the nurse should ensure that the patient follows the prescribed dosage and instructions for the use of corticosteroids.
Incorrect choices: b. Encouraging the patient to scratch the affected areas gently is not appropriate, as scratching can exacerbate psoriasis and lead to skin damage and infection.
c. NSAIDs are not typically used to manage itching and discomfort in psoriasis. They may be prescribed for joint pain associated with psoriatic arthritis, but they do not target the skin symptoms of psoriasis.
d. While warm baths can be soothing, frequent baths may actually dry out the skin and worsen psoriasis. Additionally, the water should be lukewarm rather than hot to avoid triggering flare-ups.
Correct Answer is A
Explanation
Explanation: Immunosuppressive medications can weaken the immune system, making the patient more susceptible to infections. It is important for the patient to promptly report any signs of infection or illness to their healthcare provider for appropriate management.
Incorrect choices: b. The administration of immunosuppressive medications is often specific to each medication and should be taken as prescribed by the healthcare provider, with or without food, as indicated.
c. Immunosuppressive medications can increase the risk of infections, but they do not directly increase the risk of sunburn. Patients should, however, be cautious about sun exposure due to potential skin sensitivity.
d. Discontinuing immunosuppressive medications abruptly can be dangerous and should only be done under the guidance of a healthcare provider. Sudden discontinuation can lead to worsening of psoriasis and potential rebound effects.
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