The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA). Which assessment finding indicates overexposure to this treatment?

B Requires sunglasses because sunlight hurts eyes C Brown, rough, greasy, wart-like papules on the face D Tenderness upon palpation and generalized erythema A Thick skin plaques topped by silvery white scales