A nurse assesses a client who presents with an increase in psoriatic lesions. Which questions should the nurse ask to identify a possible trigger for worsening of this client's psoriatic lesions? (Select all that apply.)
a. "Have you eaten a large amount of chocolate lately?"
b. "Have you been under a lot of stress lately?"
c. "Have you recently used a public shower?"
d. "Have you been out of the country recently?"
e. "Have you recently had any other health problems?"
f.
"Have you changed any medications recently?"
ANS: B, E, F
Systemic factors, hormonal changes, psychological stress, medications, and general health factors can aggravate psoriasis. Psoriatic lesions are not triggered by chocolate, public showers, or international travel.
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