A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.

Choice A reason: Reducing the client's intake of protein can help decrease the production of ammonia, which is a byproduct of protein metabolism. High ammonia levels contribute to hepatic encephalopathy, so a lower protein diet can be beneficial.
Choice B reason: Administering vitamin K is important for managing bleeding risks associated with cirrhosis, but it does not specifically address ammonia levels.
Choice C reason: Restricting fluid intake may be necessary for managing ascites and edema in cirrhosis but does not directly impact ammonia levels.
Choice D reason: Administering diuretics is often necessary to manage fluid retention and ascites, but it does not affect ammonia production or levels in the blood.