During the assessment, the nurse observes a client scratching his skin. He has been admitted to rule out Laennec's cirrhosis of the liver. The nurse knows the pruritus is directly related to:

The correct answer is B. Faulty processing of bilirubin. (A) A loss in the phagocytic activity of the Kupffer cells occurs with cirrhosis of the liver, which increases the susceptibility to infections. (B) The faulty processing of bilirubin produces bilesalts, which are irritating to the skin. (C) The detoxification of drugs is…

Physiological Integrity: Physiological Adaptation

Question

Options

AA loss of phagocytic activity
BFaulty processing of bilirubin
CEnhanced detoxification of drugs
DThe formation of collateral circulation

How the community answered

(22 responses)

A
5% (1)
B
77% (17)
C
14% (3)
D
5% (1)

Explanation

(A) A loss in the phagocytic activity of the Kupffer cells occurs with cirrhosis of the liver, which increases the susceptibility to infections. (B) The faulty processing of bilirubin produces bilesalts, which are irritating to the skin. (C) The detoxification of drugs is impaired with cirrhosis of the liver. (D) Collateral circulation develops due to portal hypertension. This is manifest through the development of esophageal varices, hemorrhoids, and caput medusae.

Topics

#cirrhosis#pruritus#bilirubin#liver dysfunction

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