The nurse provides discharge instructions to a client with cirrhosis who has portal hypertension, ascites, and esophageal varices. Which statement by the client indicates that the teaching was effective?

Question

The nurse provides discharge instructions to a client with cirrhosis who has portal hypertension, ascites, and esophageal varices.  Which statement by the client indicates that the teaching was effective?

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11ecbb05_c9ad_be77_b433_39fecb33567f_MD0009_00 Cirrhosis is a progressive, degenerative disease caused by destruction and subsequent disordered regeneration of the liver parenchyma. Clients with cirrhosis suffer from various complications (eg, ascites, varices, encephalopathy) that will progressively intensify without lifestyle modifications. (Option A) Alcoholism is one of the leading causes of cirrhosis. All clients with alcoholism should abstain from drinking to prevent further liver damage. (Option B) Aspirin and ibuprofen (a nonsteroidal anti-inflammatory drug [NSAID]) may cause gastrointestinal bleeding. Clients with esophageal varices or portal hypertension have an increased risk of bleeding and should avoid these medications. They should contact the health care provider regarding any pain or fever. (Option D) Although a low-sodium diet is important to prevent worsening hypertension and ascites, a low-protein diet is not usually recommended. Many clients with cirrhosis suffer from protein-calorie malnutrition; therefore, an intake of 1.2-1.5 g/kg of protein a day is commonly prescribed. Educational objective: Clients with cirrhosis should eat a high-calorie, high-carbohydrate, low-sodium, and low-fat diet; moderate protein intake is recommended. They should avoid hepatotoxic substances (eg, alcohol, acetaminophen) and medications (NSAIDs) that increase bleeding risk and reduce activities that increase intraabdominal pressure.

The Nurse Provides Discharge Instructions to a Client with Cirrhosis