A nurse is caring for a client with advanced cirrhosis who has developed hepatic encephalopathy. What intervention is a priority for the nurse?
Administering a high-protein diet to support liver function
Administering lactulose to reduce ammonia levels
Administering sedatives to promote rest and relaxation
Administering iron supplements to address anemia
The Correct Answer is B
A) Incorrect. While protein is important, in the case of hepatic encephalopathy, reducing ammonia levels is the priority. A high-protein diet may exacerbate this condition.
B) Correct. Lactulose is a medication used to reduce ammonia levels in clients with hepatic encephalopathy, which is a complication of advanced cirrhosis.
C) Incorrect. Administering sedatives may worsen hepatic encephalopathy. The focus should be on reducing ammonia levels.
D) Incorrect. Administering iron supplements is not a priority in addressing hepatic encephalopathy. The focus should be on managing ammonia levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. This description is more in line with acute hepatitis, rather than cirrhosis.
B) Correct. Cirrhosis is a chronic liver disease characterized by extensive scarring and fibrosis, which leads to loss of normal liver function.
C) Incorrect. This describes a benign liver tumor, not cirrhosis.
D) Incorrect. Cirrhosis is a chronic condition and is not a temporary impairment of liver function.
Correct Answer is B
Explanation
A) Incorrect. Protein restriction is not necessary in cirrhosis. Instead, a balanced diet with adequate protein is recommended.
B) Correct. Clients with cirrhosis should aim for a balanced diet that includes adequate protein. Sodium restriction is also important to manage fluid retention and prevent complications.
C) Incorrect. Carbohydrates are an essential part of a balanced diet. Avoiding them completely is not recommended.
D) Incorrect. Diet plays a crucial role in the management of cirrhosis. Encouraging unrestricted eating without considering dietary modifications can be detrimental to the client's health.
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