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ATI Medical Surgical Nursing, Care of Patients with Problems of the Biliary System and Pancreas

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. The client with obstructive jaundice asks the nurse why his skin is so itchy. Which is the nurse’s best response? a. “Bile salts accumulate in the skin and cause the itching.” b. “Toxi... ns 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.” 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. DIF: Cognitive Level: Comprehension/Understanding REF: p. 1316 TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology) MSC: Integrated Process: Teaching/Learning [Show More]

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