A male patient with liver cirrhosis has a serum ammonia level of 80 mcg/dL. Which of the following dietary recommendations is appropriate for the patient?

  1. Maintain current dietary instructions
  2. Increase intake of foods high in protein
  3. Limit intake of foods high in vitamin K
  4. Limit intake of foods high in protein
Explanation

Answer - D - The normal range of serum ammonia is between 35 and 65 mcg/dL. The patient's serum ammonia is higher, so he must limit his intake of foods high in protein. Ammonia is a byproduct of protein metabolism.

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