Mr. Raj, age 45 years old, is diagnosed with cirrhosis and has been placed on a moderate protein, high carbohydrate, high calorie, low salt diet. Which statement would the nurse select as the best rationale for this diet?
Explanation
Answer - B - The diet of a client with cirrhosis should provide ample protein for tissue repair, at least 0.5 g/lb. Some modification occurs if serum-ammonia levels are elevated (Choice A). Sufficient carbohydrate intake is needed to sustain weight and prevent proteins from being utilized for energy, not for the reason stated in Choice C. Choice D is partially correct. Salt is restricted to assist in decreasing edema formation. However, the reason for carbohydrate foods is as discussed above. Fluids may also be restricted to 1000 to 1500 mL/day. Vitamin supplements, particularly fat-soluble vitamins (A, D, and K), are usually prescribed because of decreased bile production of their absorption and because of the inability of the liver to store them successfully. Initially, if the client has a very poor appetite, liquid protein supplements may be given. Frequent, small feedings may also increase intake.
