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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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Increasing calorie intake by 200 cal per day may not be beneficial for this client. The client has a BMI of 26, which is considered overweight. Therefore, a goal to increase calorie intake may contribute to further weight gain.
Choice B rationale
Listing foods that are high in calcium which should be avoided is not a relevant goal for this client. Calcium is an essential nutrient and there is no indication that the client needs to avoid it.
Choice C rationale
Replacing cigarettes with smokeless tobacco products is not a healthy goal. Smokeless tobacco products also contain harmful chemicals and can lead to health problems.
Choice D rationale
Walking for 30 min 5 days a week is a beneficial goal for this client. Regular physical activity can help manage weight, lower blood pressure, and reduce the risk of heart disease. It can also help the client quit smoking by reducing cravings and withdrawal symptoms.
Correct Answer is D
Explanation
Choice A rationale
The situation component of the SBAR tool typically involves a brief description of the current problem or concern. Stating that a bowel resection was performed does not describe a current problem or concern.
Choice B rationale
The recommendation component of the SBAR tool involves suggesting a course of action or asking for assistance. Stating that a bowel resection was performed does not suggest a course of action or ask for assistance.
Choice C rationale
The assessment component of the SBAR tool involves sharing your analysis or opinion about the situation. Stating that a bowel resection was performed does not share an analysis or opinion.
Choice D rationale
This is the correct answer. The background component of the SBAR tool involves providing context or background information relevant to the situation. Stating that a bowel resection was
performed provides relevant background information about the patient’s recent medical history. DysphagiaDysphagia Explore
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