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?

Choice A rationale Brown, rough, greasy, wart-like papules on the face are not typically associated with overexposure to PUVA treatment. These symptoms could be indicative of a different skin condition. Choice B rationale Thick skin plaques topped by silvery-white scales are characteristic of psoriasis vulgaris, not overexposure to PUVA treatment. PUVA is used to treat these symptoms, not cause them. Choice C rationale Needing sunglasses because sunlight hurts the eyes is not a typical sign of overexposure to PUVA treatment. This could be a sign of a different issue, such as an eye condition or side effect from a different medication. Choice D rationale Tenderness upon palpation and generalized erythema are signs of overexposure to PUVA treatment. If a patient is overexposed to PUVA, they may experience a burning sensation, discomfort, and redness at the treatment site.