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An 18-year-old female client presents to her primary healthcare provider complaining of dry, itchy skin to elbows, knees, lower back, buttocks, and scalp, which has been gradually increasing for the past 6 to 9 months. Slight pain with itching. She tells the nurse that she came to see the primary healthcare provider because summer is nearing, and she is too self-conscious of her skin to wear shorts or short sleeves. She reports having applied lotion to these areas, which has not helped. No other attempted medication treatment. She had chicken pox as a child; otherwise, she is fully vaccinated, denies other personal medical history or family history, and comments that her mother also wears long sleeves and pants a lot. She denies nail biting or use of artificial nails. She is on the track team, reporting that practices started 1.5 months ago. She is sexually active, 2 partners in the past, none in the last 1 year. She reports having used condoms. She traveled to Colorado for a week-long skiing trip 3 months ago.
Vital signs within normal limits. Well-circumcised patches of dry, silvery, scaling papules and plaques to outer elbows, anterior knees, lower back, and just within scalp line. Many dark-brown macules and papules to arms and shoulders, all 4x4 mm or less. Pale-purple bruising to left anterior lower leg.
Thickening and pitting noted to all nails with some peeling to tips of fingernails, which are a slight-yellow discoloration. Calluses to bilateral feet on lateral aspects just proximal to level of toes
An 18-year-old female client presents to her primary healthcare provider for skin complaints.
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Relevant Physical Assessment
Finding
Dry, silvery, scaling papules and plaques
= Nail pitting and peeling
Pale purple bruising to left anterior lower leg.
Dark-brown macules and papules to arms and shoulders


Potential Condition
= Herpes zoster
= Atopic dermatitis
= Seborrheic dermatitis
三 Psoriasis

Relevant Health History Finding
= History of chicken pox
Sexually active
Mother wears long sleeves
and pants
= Travel to Colorado
Itching to knees and elbows