The nurse is caring for a patient with psoriasis and notices the presence of "Auspitz sign" during the assessment. What does this finding indicate?
Increased bleeding tendency in the patient.
Presence of skin pustules and blisters.
Formation of deep fissures in the skin.
Presence of pinpoint bleeding when scales are removed.
The Correct Answer is D
Explanation: Auspitz sign is a characteristic finding in psoriasis where pinpoint bleeding occurs when scales on the skin are removed. It is caused by the rapid growth and shedding of skin cells, which leads to the formation of delicate blood vessels that bleed easily.
Incorrect choices: a. Auspitz sign is not related to increased bleeding tendency in the patient; it is specific to psoriasis and its characteristic skin changes.
b. Presence of skin pustules and blisters is not associated with Auspitz sign and may indicate other skin conditions.
c. Formation of deep fissures in the skin is not directly related to Auspitz sign, which focuses on the bleeding after scale removal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation: Psoriasis lesions commonly appear in a symmetrical pattern, affecting similar areas on both sides of the body. For example, if a plaque is present on the right elbow, there is a high likelihood of a corresponding plaque on the left elbow.
Incorrect choices: a. Psoriasis lesions are evenly distributed across the body: Psoriasis lesions are not evenly distributed and tend to cluster in certain areas, such as elbows, knees, scalp, and lower back.
b. Psoriasis lesions are typically limited to the face and neck: While psoriasis can occur on the face and neck, it is more commonly found on extensor surfaces (elbows and knees) and the scalp.
c. Psoriasis lesions are more commonly found on the left side of the body: There is no evidence to support a preference for the left side of the body in psoriasis distribution. The symmetrical pattern is a more characteristic feature.
Correct Answer is C
Explanation
Explanation: Environmental factors such as stress, trauma, infections, and certain medications are considered triggers that can worsen psoriasis symptoms in individuals who are already genetically predisposed to the condition. These triggers can lead to psoriasis flare-ups or worsen existing plaques.
Incorrect choices: a. Primary cause of psoriasis: Environmental factors are not the primary cause of psoriasis. While they can influence the severity of symptoms, the condition itself is primarily driven by genetic factors and immune system dysfunction.
b. Minor role with no significant impact: Environmental triggers are not minor in psoriasis etiology. They can have a significant impact on symptom severity and recurrence in susceptible individuals.
d. Protective factors against developing psoriasis: Environmental factors are not protective against developing psoriasis. As an autoimmune condition, psoriasis is primarily influenced by genetic predisposition and immune system dysfunction, not by protective environmental factors.
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