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.
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Related Questions
Correct Answer is C
Explanation
A) While adequate protein intake is important for overall health, encouraging the client to increase protein intake is not a priority in managing ascites. The priority is to address fluid retention through diuretic therapy.
B) While ambulation can be beneficial for clients with liver cirrhosis, it is not the priority for managing ascites. Diuretic therapy is more directly targeted at reducing fluid accumulation.
C) The priority nursing intervention for managing ascites in a client with liver cirrhosis is administering diuretics as prescribed by the healthcare provider. Diuretics help reduce fluid retention and alleviate the pressure caused by the accumulation of fluid in the abdomen. This intervention aims to improve the client's comfort and prevent the development of further complications associated with ascites.
D) Deep breathing exercises can be helpful for clients with liver cirrhosis, but they are not the priority for managing ascites. The focus should be on diuretic therapy and addressing the fluid retention in the abdomen.
Correct Answer is C
Explanation
A) Jaundice (yellowing of the skin and eyes) typically appears later in the course of liver cirrhosis and is usually associated with more advanced liver damage.
B) Ascites, the accumulation of fluid in the abdominal cavity, is a later manifestation of liver cirrhosis and usually occurs after significant liver damage has occurred.
C) Spider angiomas, also known as spider nevi or spider telangiectasias, are dilated blood vessels that appear as small red spots with tiny radiating legs. They are a common early sign of liver cirrhosis and result from increased pressure in the superficial blood vessels due to impaired liver function. Spider angiomas are often found on the face, neck, upper trunk, and arms.
D) Hepatic encephalopathy, a neuropsychiatric complication of advanced liver disease, is also a later manifestation of liver cirrhosis and is not an early sign of the condition.
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