Page 1216 - Saunders Comprehensive Review For NCLEX-RN

1. Change in color, size, or shape of preexisting lesion
2. Pruritus
3. Local soreness

The client needs to be informed about the risks associated

with overexposure to the sun and taught about the importance of
performing monthly skin self-assessments.

D. Interventions

1. Instruct the client regarding the risk factors and
preventive measures.
2. Instruct the client to perform monthly skin self-
assessments and to monitor for lesions that do not
heal or that change characteristics.
3. Advise the client to have moles or lesions that are
subject to chronic irritation removed.
4. Advise the client to avoid contact with chemical
irritants.
5. Instruct the client to wear layered clothing and use
and reapply sunscreen lotions with an appropriate
sun protection factor when outdoors.
6. Instruct the client to avoid sun exposure between 10
a.m. and 4 p.m.
7. Management may include surgical or nonsurgical
interventions; if medication is prescribed, provide
instructions about its use.
8. Assist with surgical management, which may include
cryosurgery, curettage and electrodessication, or
surgical excision of the lesion.
XV. Psoriasis
A. Description
1. Psoriasis is a chronic, noninfectious skin inflammation
occurring with remissions and exacerbations
involving keratin synthesis that results in psoriatic
patches; it may lead to an infection in the affected
area.
2. Various forms exist, with psoriasis vulgaris being the
most common.
3. Possible causes of the disorder include stress, trauma,
infection, hormonal changes, obesity, an autoimmune
reaction, and climate changes; a genetic
predisposition may also be a cause.
4. The disorder may be exacerbated by the use of certain
medications.
5. Koebner phenomenon is the development of psoriatic
lesions at a site of injury, such as a scratched or

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