What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?
Fats
Protein
Carbohydrates
Water-soluble vitamins
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Caries: While xerostomia can increase the risk of dental caries, saliva substitutes are not a direct treatment for cavities.
B. Xerostomia: This condition is directly treated with saliva substitutes to provide moisture and lubrication.
C. Halitosis: Saliva substitutes may indirectly help with bad breath but are not a direct treatment.
D. Mucositis: This involves inflammation of the mucous membranes, typically managed with pain relief and protective agents, not saliva substitutes.
Correct Answer is D
Explanation
A. Serotonin antagonists: Serotonin antagonists are effective for nausea caused by chemotherapy or other medical treatments but are not the first line of treatment for motion sickness.
B. Corticosteroids: Corticosteroids are used for inflammation and immune response modulation but are not effective in preventing motion sickness.
C. Phenothiazines: While phenothiazines (e.g., promethazine) are used to treat nausea and vomiting, they are less commonly used for motion sickness prevention compared to anticholinergics.
D. Anticholinergics: Anticholinergic medications like scopolamine are the most effective for preventing motion sickness. They work by blocking the action of acetylcholine, a neurotransmitter involved in nausea and vomiting.
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