What will the nurse include when planning care for a patient experiencing pruritis associated with decompensated liver disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Provide cholestyramine as prescribed.
2. Provide colestipol as prescribed.
3. Provide diphenhydramine at hour of sleep.
4. Encourage the patient to keep the nails short.
5. Restrict fluids.
1,2,3,4
Rationale 1: Cholestyramine binds and prevents the accumulation of bile acids under the skin, reducing pruritis.
Rationale 2: Colestipol binds and prevents the accumulation of bile acids under the skin, reducing pruritis.
Rationale 3: Diphenhydramine relieves symptoms of pruritis and has a mild sedative effect.
Rationale 4: Keeping the nails short will reduce the injury caused when scratching the skin because of pruritis.
Rationale 5: Restricting fluids will not help reduce pruritis caused by decompensated liver disease.
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