The nurse is caring for a patient with psoriasis. Which assessment finding is consistent with psoriasis?
Clear and smooth skin without any changes.
Red and raised skin patches with silver scales.
Skin rash with fluid-filled blisters.
Purple or red lumps under the skin.
The Correct Answer is B
Explanation: Psoriasis is characterized by red and raised skin patches covered with silver or white scales. These patches are often itchy and can be found on various parts of the body, such as the scalp, elbows, knees, and lower back.
Incorrect choices: a. Clear and smooth skin without any changes is not consistent with psoriasis, which is marked by visible skin changes like red, raised patches.
c. Skin rash with fluid-filled blisters may indicate conditions such as contact dermatitis or eczema but is not typical of psoriasis.
d. Purple or red lumps under the skin are more suggestive of other conditions, such as nodules or hematomas, rather than psoriasis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation: Psoriasis is an autoimmune skin disorder where the immune system mistakenly attacks healthy skin cells, leading to the rapid buildup of skin cells and the formation of red, scaly patches on the skin's surface.
Incorrect choices: a. A contagious bacterial skin infection - Psoriasis is not caused by bacteria, and it is not contagious.
c. A fungal infection causing itching and rash - Psoriasis is not caused by a fungus; it is an autoimmune condition.
d. A viral skin condition resulting in fluid-filled blisters - Psoriasis does not result in fluid-filled blisters; it presents as red, scaly patches instead.
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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