A nurse is providing discharge teaching to a client with liver cirrhosis. Which dietary modification should the nurse recommend to the client?
Increase protein intake to promote liver tissue repair.
Consume a high-sodium diet to maintain fluid balance.
Limit fluid intake to reduce the risk of ascites.
Restrict alcohol consumption completely.
The Correct Answer is D
A) While adequate protein intake is necessary for overall health, excessive protein intake may worsen hepatic encephalopathy in some clients with liver cirrhosis. The priority for this client is to avoid alcohol consumption, not necessarily to increase protein intake.
B) Clients with liver cirrhosis and associated ascites should be on a low-sodium diet to reduce fluid retention and prevent complications related to ascites.
C) Limiting fluid intake is not a standard recommendation for clients with liver cirrhosis. Instead, clients with ascites may be advised to follow a low-sodium diet and, if necessary, restrict fluid intake under the guidance of their healthcare provider.
D) For a client with liver cirrhosis, the most crucial dietary modification is to restrict alcohol consumption completely. Alcohol is a major contributing factor to liver damage and can exacerbate cirrhosis. Abstinence from alcohol is essential to prevent further liver injury and improve the client's overall prognosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Spironolactone is a potassium-sparing diuretic commonly used to manage fluid retention in liver cirrhosis. The nurse should monitor the client's serum potassium levels regularly as this medication can cause hyperkalemia (elevated potassium levels). It is important to assess potassium levels to avoid complications associated with imbalances in potassium levels.
B) Monitoring blood glucose levels is not specifically related to the use of spironolactone in liver cirrhosis. Spironolactone does not have a significant effect on blood glucose levels.
C) Monitoring the white blood cell count is not directly related to the use of spironolactone. White blood cell count is typically monitored to assess for signs of infection or immune system response.
D) Monitoring serum calcium levels is not directly related to the use of spironolactone in liver cirrhosis. Spironolactone does not significantly impact calcium levels in the blood.
Correct Answer is D
Explanation
A) Lactulose is used to treat hepatic encephalopathy and is not prescribed to reduce the risk of bleeding from esophageal varices.
B) Omeprazole is a proton pump inhibitor used to reduce stomach acid production and treat conditions such as peptic ulcers and gastroesophageal reflux disease (GERD). While it may be prescribed to manage gastritis or peptic ulcers, it is not primarily used to reduce the risk of bleeding from esophageal varices.
C) Furosemide is a diuretic used to manage fluid retention and ascites in clients with liver cirrhosis. It is not prescribed to reduce the risk of bleeding from esophageal varices.
D) Propranolol is a beta-blocker commonly used to reduce the risk of bleeding from esophageal varices in clients with liver cirrhosis. Propranolol helps decrease portal hypertension by reducing the pressure in the portal vein, thereby reducing the likelihood of variceal rupture and bleeding.
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