A nurse is preparing discharge instructions for a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?
“Take pain relief medication such as acetaminophen to relieve discomfort associated with ascites.”.
“Avoid high-sodium foods such as canned soups/vegetables, processed meats, and prepackaged frozen dinners.”.
“Ensure that you eat three large meals per day to keep your calories up.”.
“Increase your activity as much as possible.
The Correct Answer is B
Choice A rationale
While acetaminophen can be used to relieve discomfort, it should be used with caution in patients with liver disease like cirrhosis, as it can potentially cause further liver damage.
Choice B rationale
Patients with cirrhosis, especially those with ascites, are often advised to limit their sodium intake. High-sodium foods can contribute to fluid retention and worsen ascites. Therefore, avoiding high-sodium foods such as canned soups/vegetables, processed meats, and prepackaged frozen dinners is a key part of managing cirrhosis.
Choice C rationale
While maintaining adequate nutrition is important in cirrhosis, eating three large meals per day is not typically recommended. Instead, smaller, more frequent meals are often suggested.
Choice D rationale
While physical activity is generally beneficial, patients with cirrhosis and particularly those with complications such as ascites or encephalopathy may need to modify their activity levels based on their symptoms and overall health.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Donating blood after completing the medication regimen is not typically recommended for patients with hepatitis B. Hepatitis B is a bloodborne virus, and individuals with the virus should not donate blood.
Choice B rationale
Resting frequently throughout the day is a key part of self-management for patients with hepatitis B. Rest can help the body recover and fight off the virus.
Choice C rationale
Taking acetaminophen every 4 hours for discomfort is not typically recommended for patients with hepatitis B. Overuse of acetaminophen can lead to liver damage, which can be particularly harmful for individuals with liver diseases like hepatitis B56.
Choice D rationale
Consuming a high-protein diet is not typically recommended for patients with hepatitis B. A balanced diet is important for overall health, but there are no specific dietary recommendations for hepatitis B56.
Correct Answer is B
Explanation
Choice A rationale
Consuming a large amount of alcohol at one time can lead to liver damage and other health problems, but it does not directly cause hepatitis C infection. Hepatitis C is a viral infection that primarily spreads through contact with infected blood.
Choice B rationale
Coming into contact with infected blood, such as from a dirty needle, can indeed cause you to become infected with hepatitis C. This is one of the most common ways the virus is transmitted, particularly through sharing needles or other equipment to inject drugs.
Choice C rationale
Hepatitis C does not typically spread through contact with an infected person’s bodily fluids such as saliva. The virus is primarily bloodborne, meaning it spreads through direct contact with infected blood.
Choice D rationale
Eating contaminated food or water from an infected source does not cause hepatitis C. The virus does not spread through food or water, or by casual contact.
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