Topical steroid therapy may be used to treat psoriasis. If steroids are suddenly stopped, what may the client expect to happen?

Correct Answer: D

Rationale: Topical steroid therapy is commonly used to manage psoriasis due to its anti-inflammatory properties. When abruptly discontinued, the client can expect the psoriasis to reappear and potentially worsen. This is because the sudden withdrawal of the steroid can lead to a rebound effect, causing a flare-up of the condition. Option A is incorrect because psoriasis is a chronic condition that typically requires ongoing management. Option B is incorrect as it describes a possible side effect of topical steroid use, not the consequence of stopping treatment. Option C is incorrect as dark pigmentation is not a common outcome of discontinuing topical steroids for psoriasis. Educationally, it is crucial for healthcare providers and patients to understand the importance of gradually tapering off steroid therapies to prevent exacerbation of skin conditions like psoriasis. Sudden cessation can lead to rebound flares, emphasizing the need for proper patient education and adherence to treatment plans.

Correct Answer: C

Rationale: Step 1: Bony prominences need cushioning to protect underlying structures. Step 2: Adipose tissue provides padding and cushioning due to its soft and flexible nature. Step 3: Adipose tissue is commonly found in the subcutaneous layer beneath the skin. Step 4: Therefore, the correct answer is C: adipose tissue in the subcutaneous layer. Summary: - Choice A (adipose tissue in the dermis) is incorrect as the dermis is not the primary location for adipose tissue. - Choice B (elastic connective tissue in the epidermis) is incorrect as elastic connective tissue doesn't provide the same cushioning as adipose tissue. - Choice D (elastic connective tissue in the subcutaneous layer) is incorrect as adipose tissue, not elastic connective tissue, is responsible for cushioning bony prominences.

Correct Answer: A

Rationale: The correct answer is A because mitosis actually takes place in the lowest layer of the epidermis called the stratum basale, not the stratum corneum. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells. Mitosis is necessary for cell renewal, and it occurs in the stratum basale where new skin cells are constantly produced. Langerhans cells in the epidermis are responsible for picking up pathogens, making statement B true. Statement C is also true as the intact stratum corneum acts as a protective barrier against bacteria and chemicals. Lastly, statement D is true as the stratum germinativum (also known as the stratum basale) is indeed adjacent to the dermis, the layer of skin below the epidermis.

Correct Answer: D

Rationale: The correct answer is D: IV. Stage IV pressure ulcers involve full-thickness tissue loss with exposed bone, tendon, or muscle. In this case, the wound on the patient's left leg fits the description of a Stage IV pressure ulcer. Stages I, II, and III do not involve bone exposure and are characterized by various levels of skin and tissue damage. Therefore, the correct choice is D as it aligns with the specific characteristics of the wound described in the scenario.

Correct Answer: A

Rationale: The correct answer is A because Stevens-Johnson syndrome is a severe skin condition that can lead to extensive skin loss and mucosal damage, similar to burn injuries. Regional burn centers have the expertise and resources to manage such complex cases effectively, including specialized wound care, monitoring for complications, and multidisciplinary care. Therefore, transferring the patient to a burn center can improve outcomes and reduce the risk of complications. Other choices are incorrect because without the specialized care available at a burn center, the patient's condition may worsen, leading to increased morbidity and mortality.