What is pruritus related to in the patient diagnosed with hepatitis?
Poor appetite and therefore poor protein intake
Altered urinary output of bile
Decreased fat intake
Accumulation of bile salts under the skin
The Correct Answer is D
A. Poor appetite and therefore poor protein intake: While poor appetite can occur in hepatitis, it is not directly related to pruritus.
B. Altered urinary output of bile: Hepatitis affects liver function, but pruritus is not caused by changes in urinary output of bile.
C. Decreased fat intake: Decreased fat intake does not directly lead to pruritus in hepatitis.
D. Accumulation of bile salts under the skin: In hepatitis, liver dysfunction impairs the excretion of bile salts, leading to their accumulation in the skin, which causes pruritus (itching).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Encourage turning, coughing, and deep breathing every 2 hours: Bed rest increases the risk of respiratory complications like atelectasis and pneumonia, so encouraging turning, coughing, and deep breathing helps prevent these complications by improving lung ventilation.
B. Raise the knee gatch to prevent the patient from sliding down in bed: While this may help position the patient, it is not the priority action to prevent complications related to bed rest and hepatitis.
C. Provide undisturbed periods of 6 hours to encourage rest: While rest is important, prolonged periods without movement can lead to complications like pneumonia or pressure ulcers. Movement should still be encouraged.
D. Restrict fluids: Fluid restriction is not necessary for most hepatitis patients unless there are specific complications like ascites or severe edema. Fluid intake should generally be encouraged to prevent dehydration.
Correct Answer is D
Explanation
A. Serotonin antagonists: Serotonin antagonists are effective for nausea caused by chemotherapy or other medical treatments but are not the first line of treatment for motion sickness.
B. Corticosteroids: Corticosteroids are used for inflammation and immune response modulation but are not effective in preventing motion sickness.
C. Phenothiazines: While phenothiazines (e.g., promethazine) are used to treat nausea and vomiting, they are less commonly used for motion sickness prevention compared to anticholinergics.
D. Anticholinergics: Anticholinergic medications like scopolamine are the most effective for preventing motion sickness. They work by blocking the action of acetylcholine, a neurotransmitter involved in nausea and vomiting.
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