The nurse is caring for a patient with psoriasis who is experiencing itching and discomfort. Which nursing intervention is appropriate to address the patient's symptoms?
Apply topical corticosteroids liberally to affected areas.
Encourage the patient to scratch the affected areas gently to relieve itching.
Administer non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
Advise the patient to take frequent warm baths to soothe the skin.
The Correct Answer is A
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.
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Related Questions
Correct Answer is D
Explanation
Explanation: Adherence to prescribed treatment plans and attending follow-up appointments with healthcare providers are crucial for effectively managing psoriasis and preventing complications.
Incorrect choices: a. "Regularly scrubbing the affected areas to remove scaling." - Vigorous scrubbing can irritate the skin and worsen psoriasis symptoms. Gentle cleansing is recommended.
b. "Avoiding all forms of physical activity to prevent skin irritation." - Engaging in light physical activity is generally encouraged, as long as it does not exacerbate psoriasis symptoms.
c. "Using topical corticosteroids as needed without healthcare provider consultation." - It is essential for patients to follow their healthcare provider's instructions regarding the use of topical corticosteroids, as inappropriate or excessive use can lead to adverse effects.
Correct Answer is D
Explanation
Explanation: Topical retinoids can increase the skin's sensitivity to sunlight and may cause sunburn. Patients should avoid excessive sun exposure and use sunscreen to protect their skin when using topical retinoids.
Incorrect choices: a. Topical retinoids should be applied to dry skin, not wet skin, to ensure proper absorption and effectiveness.
b. Topical retinoids are typically applied to the entire affected area, not just individual psoriasis plaques. They work best when applied consistently to the entire affected area.
c. Topical retinoids may take several weeks to show significant improvement in psoriasis symptoms, and immediate relief is not typical.
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