A client admitted with liver cancer and jaundice. Which of the following skin deposits are related to jaundice and cause itching?
Ammonia
Nitrogen
Bile salts
Protein
The Correct Answer is C
A. Ammonia: Ammonia accumulation affects the brain, causing hepatic encephalopathy, but it does not cause itching.
B. Nitrogen: Nitrogenous waste buildup is associated with renal failure (uremic pruritus) rather than liver disease.
C. Bile salts: In liver dysfunction, bile salts accumulate in the skin, leading to pruritus (itching) due to biliary obstruction.
D. Protein: Protein does not cause itching; however, hypoalbuminemia in liver disease can lead to edema, not pruritus.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ammonia: Ammonia accumulation affects the brain, causing hepatic encephalopathy, but it does not cause itching.
B. Nitrogen: Nitrogenous waste buildup is associated with renal failure (uremic pruritus) rather than liver disease.
C. Bile salts: In liver dysfunction, bile salts accumulate in the skin, leading to pruritus (itching) due to biliary obstruction.
D. Protein: Protein does not cause itching; however, hypoalbuminemia in liver disease can lead to edema, not pruritus.
Correct Answer is C
Explanation
A. Notify the health care provider: While notifying the provider is important, assessing the client comes first to determine if there is active bleeding.
B. Administer a 1-liter bolus of normal saline: Fluid resuscitation is used for shock, but the cause of symptoms must be assessed first.
C. Inspect the biopsy site dressing: The most concerning complication after a liver biopsy is internal bleeding, as the liver is highly vascular. Pallor and near-syncope may indicate hemorrhage. The priority action is to assess the biopsy site for bleeding before taking further action.
D. Position the client on the right side: Clients are typically positioned on the right side after a liver biopsy to apply pressure and reduce bleeding risk, but since the client is already experiencing symptoms of hypovolemia, assessment and intervention for potential hemorrhage take precedence.
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