A nurse cares for a client who has obstructive jaundice. The client asks, "Why is my skin so itchy?" How should the nurse respond?
a. "Bile salts accumulate in the skin and cause the itching."
b. "Toxins 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.
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