{"id":141242,"date":"2024-09-20T14:48:07","date_gmt":"2024-09-20T14:48:07","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141242"},"modified":"2024-09-20T14:48:09","modified_gmt":"2024-09-20T14:48:09","slug":"the-nurse-is-caring-for-a-client-diagnosed-with-psoriasis-vulgaris-who-is-receiving-a-psoralen-and-ultraviolet-a-light-puva-treatment","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/the-nurse-is-caring-for-a-client-diagnosed-with-psoriasis-vulgaris-who-is-receiving-a-psoralen-and-ultraviolet-a-light-puva-treatment\/","title":{"rendered":"The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment."},"content":{"rendered":"\n

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?<\/p>\n\n\n\n

A.
Thick skin plaques topped by silvery white scales<\/p>\n\n\n\n

B.
Tenderness upon palpation and generalized erythema<\/p>\n\n\n\n

C.
Brown, rough, greasy, wart-like papules on the face.<\/p>\n\n\n\n

D.
Requires sunglasses because sunlight hurts eyes.<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is B. Tenderness upon palpation and generalized erythema<\/strong>.<\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Psoriasis vulgaris is a chronic skin condition characterized by thick, red, scaly patches. Psoralen and ultraviolet A light (PUVA) therapy is a common treatment used to manage moderate to severe psoriasis. PUVA combines the administration of a photosensitizing drug (psoralen) with exposure to ultraviolet A (UVA) light, which helps to slow down the excessive skin cell turnover seen in psoriasis.<\/p>\n\n\n\n

However, PUVA therapy can pose a risk of overexposure to UVA radiation. Overexposure to UVA light<\/strong> can cause skin damage similar to a severe sunburn. The hallmark signs of overexposure are tenderness upon palpation and generalized erythema<\/strong>, which indicates the skin has become excessively irritated or inflamed due to too much UVA light. This response is essentially a phototoxic reaction, where the skin becomes sensitive, red, and painful as a result of excessive light exposure after taking psoralen.<\/p>\n\n\n\n

Other potential signs of overexposure to PUVA include:<\/p>\n\n\n\n

    \n
  • Blistering of the skin<\/li>\n\n\n\n
  • Swelling or edema<\/li>\n\n\n\n
  • Peeling of the skin, similar to a severe sunburn<\/li>\n\n\n\n
  • Hyperpigmentation (darkening of the skin in patches)<\/li>\n<\/ul>\n\n\n\n

    These symptoms suggest the client has received too much UVA light, and the therapy may need to be adjusted.<\/p>\n\n\n\n

    Option A<\/strong> (thick plaques with silvery white scales) describes the classic appearance of untreated psoriasis but does not indicate overexposure to PUVA.<\/p>\n\n\n\n

    Option C<\/strong> (brown, rough, greasy, wart-like papules) suggests seborrheic keratosis, a benign skin condition unrelated to PUVA treatment.<\/p>\n\n\n\n

    Option D<\/strong> (requires sunglasses because sunlight hurts the eyes) indicates a potential photosensitivity reaction but does not directly indicate skin overexposure to PUVA.<\/p>\n\n\n\n

    If overexposure occurs, treatment adjustments, such as lowering the UVA dose or modifying the treatment schedule, are necessary to avoid further skin damage. Sunscreen and protective clothing can also help mitigate risks.<\/p>\n","protected":false},"excerpt":{"rendered":"

    The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment? A.Thick skin plaques topped by silvery white scales B.Tenderness upon palpation and generalized erythema C.Brown, rough, greasy, wart-like papules on […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141242","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141242"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141242\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141242"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}