A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?
Encourage eating three large meals daily.
Provide a high carbohydrate diet.
Include high protein snacks.
Administer acetaminophen for pain.
The Correct Answer is B
Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.
Correct Answer is D
Explanation
Rationale:
A. Tachycardia may occur secondary to hypotension, but it is a secondary concern, not the primary pharmacological issue.
B. Paracentesis does not directly affect blood glucose levels.
C. While changes in bowel habits may occur with fluid shifts, they are not the primary concern after paracentesis.
D. Removal of large volumes of ascitic fluid can lead to intravascular volume depletion, resulting in hypotension. Monitoring blood pressure before, during, and after the procedure is essential, and volume replacement may be required to maintain hemodynamic stability.
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