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 A
Explanation
A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.
B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.
C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.
D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.
Correct Answer is C
Explanation
A. "Imagery may help control pain.": This is an appropriate pain management strategy.
B. "Sitz baths are ordered to soothe the area.": Sitz baths are commonly recommended for pain relief and hygiene after hemorrhoidectomy.
C. "Fluids are restricted.": Adequate hydration is essential to prevent constipation, which can strain the surgical site.
D. "Bleeding should be reported.": Postoperative bleeding, beyond minor spotting, is a concerning symptom and should be reported promptly.
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