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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Petechiae are small, red or purple spots caused by capillary bleeding and are common in advanced cirrhosis due to thrombocytopenia and coagulation defects.
B. Peripheral ulcers are not typically associated with cirrhosis.
C. Osteoarthritis is a degenerative joint condition unrelated to liver disease.
D. Hypertension is not a hallmark of advanced cirrhosis; portal hypertension may occur, but systemic hypertension is not expected.
Correct Answer is A
Explanation
Rationale:
A. After the return of bowel sounds postoperatively, clear liquids (e.g., water, broth, tea, clear juice) are introduced first. This allows the gastrointestinal tract to gradually resume function and ensures the client can tolerate fluids without nausea, vomiting, or distention.
B. A soft diet is introduced later once the client tolerates clear liquids and then full liquids, as it is more complex to digest.
C. A regular diet is not started immediately after surgery; the gut needs gradual reintroduction to food.
D. Full liquids can be given after clear liquids are tolerated, as they are more substantial and include milk-based or blended foods.
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