PN Adult Medical Surgical Practice Exam

Which treatment for a client with psoriasis should a nurse clarify with the provider?

1. Topical corticosteroids

2. Coal tar ointment

3. Moderate UV radiation

4. Dermabrasion

The correct answer is: Dermabrasion

In a client with psoriasis, dermabrasion is a treatment option that requires clarification with the provider due to potential complications. Psoriasis is a chronic skin condition characterized by thick, scaly plaques, and addressing it necessitates treatments that do not exacerbate the condition. Dermabrasion involves mechanically exfoliating the skin, which can lead to further irritation and the possibility of flare-ups. The process can also induce Koebner phenomenon, where new lesions develop at sites of trauma or injury on the skin, which is particularly relevant in the context of psoriasis. Therefore, it's essential for the nurse to ensure that any procedural interventions align with safe and effective management strategies for psoriasis. In contrast, topical corticosteroids, coal tar ointment, and moderate UV radiation are standard treatments known to effectively help in managing and reducing the symptoms of psoriasis. Topical corticosteroids are anti-inflammatory and help decrease redness and scaling. Coal tar ointment has soothing properties and can reduce scaling and itch, while moderate UV radiation can help slow the growth of skin cells, alleviating the condition. Each of these treatments is commonly utilized and well supported in the management of psoriasis.