A nurse is providing care for a patient who has psoriasis. The nurse is aware of the sequelae that can result from this health problem. Following the appearance of skin lesions, the nurse should prioritize what assessment?
A) Assessment of the patient's stool for evidence of intestinal sloughing
B) Assessment of the patient's apical heart rate for dysrhythmias
C) Assessment of the patient's joints for pain and decreased range of motion
D) Assessment for cognitive changes resulting from neurologic lesions
Ans: C
Feedback:
Asymmetric rheumatoid factor–negative arthritis of multiple joints occurs in up to 30% of people with psoriasis, most typically after the skin lesions appear. The most typical joints affected include those in the hands or feet, although sometimes larger joints such as the elbow, knees, or hips may be affected. As such, the nurse should assess for this musculoskeletal complication. GI, cardiovascular, and neurologic function are not affected by psoriasis.
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