The nurse is caring for a patient with a diagnosis of pemphigus. An appropriate nursing intervention would consist of which of the following?
A) High-dose corticosteroid administration
B) Gluten-free diet
C) Intravenous administration of immunoglobulin (IVIG)
D) Treatment with liquid nitrogen
Ans: A
Chapter: 56
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Patient Needs: A-1
Feedback: An appropriate nursing intervention for the diagnosis of pemphigus consists of high-dose corticosteroid administration to control the disease and keep the skin free of blisters. The high dosage level is maintained until remission is apparent. In some cases, corticosteroids therapy must be maintained for life. A gluten-free diet is utilized in the treatment of dermatitis herpetiforms. IVIG is used in the treatment of toxic epidermal necrolysis (TEN). Warts are treated with liquid nitrogen.
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