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:
Chronic alcohol consumption is not a common cause of gallbladder inflammation or cholecystitis. However, excessive alcohol consumption can contribute to liver disease, which may increase the risk of gallstone formation.
Choice B reason:
Excessive consumption of dairy products is not a common cause of gallbladder inflammation. The primary factors leading to cholecystitis are gallstones, inflammation of the gallbladder wall, or infection.
Choice C reason:
This statement is correct. Blockage of the cystic duct by a gallstone is a common cause of gallbladder inflammation. When a gallstone obstructs the cystic duct, bile cannot flow freely, leading to increased pressure and inflammation of the gallbladder wall, resulting in cholecystitis.
Choice D reason:
Allergic reactions to certain foods are not a common cause of gallbladder inflammation or cholecystitis. Cholecystitis is primarily related to gallstones, bile flow abnormalities, or infections.
Correct Answer is C
Explanation
Choice A reason:
Avoiding heavy lifting is important after a cholecystectomy to prevent strain on the surgical site and reduce the risk of complications.
Choice B reason:
Reporting signs of infection or wound complications is essential for early detection and appropriate management.
Choice C reason:
This statement indicates a need for further teaching. After a cholecystectomy, the client should follow a low-fat diet for several weeks before gradually reintroducing regular foods.
Choice D reason:
Taking prescribed pain medication as needed is essential for managing postoperative discomfort and promoting recovery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.