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 C
Explanation
A. Lying down 1 hour after eating: Lying down after eating can worsen symptoms of heartburn and acid reflux, so it is generally discouraged for patients with hiatal hernia.
B. Eating three well-balanced meals: While eating balanced meals is important, it's not specifically recommended for reducing heartburn or regurgitation in patients with a hiatal hernia. Smaller, more frequent meals are generally better.
C. Eating nothing for several hours before bedtime: Avoiding food for several hours before bedtime allows the stomach to empty, reducing the risk of acid reflux, heartburn, and regurgitation.
D. Sleeping without pillows: Patients with hiatal hernias are often advised to sleep with the head elevated (using pillows) to prevent acid reflux while sleeping.
Correct Answer is A
Explanation
A. Perforation: A temperature of 102.4° F and abdominal rigidity are suggestive of peritonitis, which is a potential complication of diverticulosis. Perforation of a diverticulum can lead to leakage of intestinal contents into the abdominal cavity, causing infection and inflammation.
B. Obstruction: Although obstruction can occur in diverticulosis, it typically causes symptoms such as bloating, abdominal distention, and pain, not fever and rigidity.
C. Infection: While infection can occur with diverticulosis, fever and rigidity in this scenario are more likely due to perforation leading to peritonitis, which is a more severe condition.
D. Constipation: While constipation can exacerbate diverticulosis, it would not typically cause fever or abdominal rigidity.
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