What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

Fats

Protein

Carbohydrates

Water-soluble vitamins

Answer and Explanation

The Correct Answer is B

A. Fats: Restricting fats is not typically indicated in cirrhosis, unless the patient has specific issues like gallbladder disease or pancreatitis.

B. Protein: When ammonia levels rise in cirrhosis (leading to hepatic encephalopathy), restricting protein intake can help reduce the production of ammonia, as proteins are broken down into ammonia in the body.

C. Carbohydrates: Carbohydrates are generally not restricted in cirrhosis. They are important for energy, especially in patients with liver disease.

D. Water-soluble vitamins: There is no need to restrict water-soluble vitamins in cirrhosis unless there is a specific deficiency or malabsorption.

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Correct Answer is D

Explanation

A. Poor appetite and therefore poor protein intake: While poor appetite can occur in hepatitis, it is not directly related to pruritus.

B. Altered urinary output of bile: Hepatitis affects liver function, but pruritus is not caused by changes in urinary output of bile.

C. Decreased fat intake: Decreased fat intake does not directly lead to pruritus in hepatitis.

D. Accumulation of bile salts under the skin: In hepatitis, liver dysfunction impairs the excretion of bile salts, leading to their accumulation in the skin, which causes pruritus (itching).

A. "I will give my baby the medication just before a feeding." B. "I will swab the medication inside my baby's mouth and on her tongue." C. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin." D. "I will mix my baby's medication in a clear liquid and put it in her bottle.”

Correct Answer is B

Explanation

A. "I will give my baby the medication just before a feeding.": Nystatin should be given after feedings to ensure it stays in the mouth long enough to work effectively.

B. "I will swab the medication inside my baby's mouth and on her tongue.": Nystatin should be applied directly to the affected areas in the mouth (e.g., tongue, cheeks) using a swab or applicator.

C. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin.": Cleaning the white patches could remove the medication before it has a chance to work, so this is not recommended.

D. "I will mix my baby's medication in a clear liquid and put it in her bottle.": Mixing the medication in a bottle can make it less effective, as it may not stay in the mouth long enough to treat the infection.

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What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is pruritus related to in the patient diagnosed with hepatitis?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

Correct Answer is B

Explanation

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