A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Reduce the client's intake of protein.

Restrict the client's intake of fluids.

Administer vitamin K

Administer diuretics.

Answer and Explanation

The Correct Answer is A

A. Reducing protein intake is a key intervention to decrease ammonia levels in clients with liver cirrhosis and encephalopathy. Protein metabolism in the liver produces ammonia, and limiting protein can help manage elevated ammonia levels, thereby reducing symptoms of encephalopathy.

B. Restricting fluid intake is not directly related to decreasing ammonia levels. While fluid restriction may be necessary in cases of ascites or edema, it does not address the root cause of elevated ammonia in liver disease.

C. Administering vitamin K is important for managing clotting issues in liver disease but does not directly impact ammonia levels. Vitamin K helps with clotting factor synthesis, which is not directly related to ammonia metabolism.

D. Administering diuretics can help manage fluid retention but does not reduce ammonia levels. The primary goal for managing ammonia in cirrhosis involves dietary modifications and medications like lactulose, rather than diuretics.

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Correct Answer is B

Explanation

A. Hyperactive bowel sounds are not specific to peritonitis and may occur in other conditions affecting the gastrointestinal tract.
B. Nausea and vomiting are common symptoms of peritonitis, which is an infection of the peritoneal cavity, and should be closely monitored in clients undergoing peritoneal dialysis.
C. Increased urinary output is not related to peritonitis; clients undergoing peritoneal dialysis may have decreased urinary output.
D. Bradycardia is not a typical manifestation of peritonitis; the focus should be on signs of infection and gastrointestinal symptoms.

A. Polyphagia B. Dehydration C. Hyperglycemia D. Bradycardia

Correct Answer is B

Explanation

A. Polyphagia (excessive hunger) is typically associated with diabetes mellitus, not diabetes insipidus. Diabetes insipidus primarily affects fluid balance rather than blood sugar levels.

B. Dehydration is a common finding in diabetes insipidus due to the inability to concentrate urine, leading to excessive fluid loss and potential dehydration.

C. Hyperglycemia is associated with diabetes mellitus rather than diabetes insipidus. Diabetes insipidus does not directly affect blood glucose levels.

D. Bradycardia (slow heart rate) is not a typical finding in diabetes insipidus. The primary concern in diabetes insipidus is fluid imbalance rather than heart rate issues.

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A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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