A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?
"The itching is unrelated to your cholecystitis and may be due to an allergic reaction."
"Cholecystitis can cause bile salts to accumulate in your skin, leading to itching."
"The itching is a result of dehydration, which is common in cholecystitis."
"Cholecystitis can cause elevated blood sugar levels, which may lead to itching."
The Correct Answer is B
Choice A reason:
Itching is not typically associated with an allergic reaction and is more likely related to cholecystitis itself or complications such as cholangitis or bile duct obstruction.
Choice B reason:
This statement is correct. Cholecystitis can cause bile salts to accumulate in the skin, leading to pruritus (itching). When the bile flow is obstructed or altered, bile salts may not be properly eliminated from the body, leading to their accumulation in the skin and causing itching.
Choice C reason:
Dehydration may occur in some cases of cholecystitis due to nausea, vomiting, or reduced fluid intake, but it is not the primary cause of pruritus.
Choice D reason:
Cholecystitis does not typically cause elevated blood sugar levels. However, certain conditions like diabetes mellitus may increase the risk of cholecystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
While cholecystectomy is a common procedure, minimizing the client's fear and anxiety by downplaying the risks is not appropriate. It is essential to acknowledge the client's concerns and address them appropriately.
Choice B reason:
Avoiding thinking about the surgery may not be helpful for the client. It is essential to encourage open communication and support the client in expressing their fears and concerns.
Choice C reason:
This statement is correct. Encouraging the client to express their fears and concerns allows the nurse to address them appropriately and provide the necessary support and information to reduce anxiety.
Choice D reason:
While sharing personal experiences can sometimes be helpful, it is essential to focus on the client's feelings and needs rather than diverting attention to the nurse's experience.
Correct Answer is B
Explanation
Choice A reason:
Engaging in strenuous physical activities may exacerbate the pain and discomfort in a client with chronic cholecystitis. Moderate physical activity is encouraged, but strenuous activities should be avoided.
Choice B reason:
This statement is correct. Applying a heating pad on the abdomen can help alleviate pain and discomfort associated with chronic cholecystitis. Heat therapy helps relax muscles and may ease the tension in the affected area.
Choice C reason:
Consuming a high-fat diet is not recommended for a client with chronic cholecystitis. A low-fat diet is recommended to reduce gallbladder stimulation and prevent symptoms.
Choice D reason:
While over-the-counter NSAIDs can be effective for mild pain relief, they should be used with caution in clients with cholecystitis, especially if there is any concern about gallstone-related inflammation. It is best to consult with a healthcare provider before using NSAIDs in this case.
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