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. Sharp: This type of pain is typically associated with more acute or localized conditions, such as in an injury or inflammation, but not with peptic ulcer disease.
B. Burning: This is the most characteristic description of pain associated with peptic ulcer disease. The burning sensation is often related to acid irritation of the ulcerated tissue in the stomach or duodenum.
C. Stabbing: Stabbing pain is more likely to be associated with conditions such as acute pancreatitis or peritonitis, but it's not typical for peptic ulcers.
D. Dull: A dull ache is often seen in conditions such as chronic muscle pain or arthritis, but it’s not the typical presentation for peptic ulcer disease, which usually involves more intense, burning pain.
Correct Answer is D
Explanation
A. Lubricates the intestinal wall and softens stool: This describes the action of lubricant laxatives, such as mineral oil, not stimulant laxatives.
B. Draws water into the bowel to facilitate the passage of feces: This describes osmotic laxatives, such as polyethylene glycol or lactulose.
C. Increases bulk and stimulates peristalsis: This describes bulk-forming laxatives, like psyllium, which absorb water and increase stool size.
D. Irritates the intestine directly, promoting peristalsis and evacuation: This is the correct mechanism for stimulant laxatives, such as bisacodyl and senna. They stimulate the nerve endings in the intestinal lining, leading to increased bowel movement activity.
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