A nurse cares for a client who has obstructive jaundice. The ...

[rosent76]

A nurse cares for a client who has obstructive jaundice. The client asks, Why is my skin so itchy? How should the nurse respond?
 
  a. Bile salts accumulate in the skin and cause the itching.
  b. Toxins released from an inflamed gallbladder lead to itching.
  c. Itching is caused by the release of calcium into the skin.
  d. Itching is caused by a hypersensitivity reaction.

Question 2

A nurse delegates hygiene care for a client who has advanced cirrhosis to an unlicensed nursing personnel (UAP). Which statements should the nurse include when delegating this task to the UAP? (Select all that apply.)
 
  a. Apply lotion to the client's dry skin areas.
  b. Use a basin with warm water to bathe the client.
  c. For the client's oral care, use a soft toothbrush.
  d. Provide clippers so the client can trim the fingernails.
  e. Bathe with antibacterial and water-based soaps.

[LP]

Answer to Question 1

ANS: A
In obstructive jaundice, the normal flow of bile into the duodenum is blocked, allowing excess bile salts to accumulate on the skin. This leads to itching, or pruritus. The other statements are not accurate.

Answer to Question 2

ANS: A, C, D
Clients with advanced cirrhosis often have pruritus. Lotion will help decrease itchiness from dry skin. A soft toothbrush should be used to prevent gum bleeding, and the client's nails should be trimmed short to prevent the client from scratching himself or herself. These clients should use cool, not warm, water on their skin, and should not use excessive amounts of soap.

[rosent76]

Thank you

[LP]

Happy to help you