A nurse is assessing a client who is receiving treatment for psoriasis. Which of the following images depicts what the nurse should expect to observe?
Explanation & Rationale
Rationale: A. Hypertrophic Scar: This image shows an abnormal, raised scar that is wider and more prominent than a normal healing scar, likely a hypertrophic scar which results from excessive collagen deposition during the healing process. B. Dermatographia: This image displays urticarial (hive-like) lesions that appear as linear welts or swelling (wheals) on the skin of an arm. This is a common form of physical urticaria (hives). It is an exaggerated local skin response where light pressure, friction, or scratching results in localized vasodilation (redness) and edema (swelling/wheals) along the line of contact. C. Psoriatic Plaque: This image displays a classic plaque-like lesion characteristic of Psoriasis. The characteristic features, a sharply demarcated, thickened (plaque), silvery-white scale covering a bright red, erythematous base. These plaques are often found symmetrically on the elbows, knees, scalp, and lower back. D. Folliculitis: The lesions typically present as small, red bumps or pimples that may have a white or yellow center (a pustule) and usually center around a hair. The lesions in the image are discrete, erythematous (reddened), and scattered.