A patient is admitted to the critical care unit with severe malnutrition as a result of hepatic failure.A triple-lumen central venous catheter is placed in the right subclavian vein, and TPN is started.Which of the following dietary restrictions should be maintained for the patient?
A) Fat and magnesium
B) Protein and sodium
C) Carbohydrate and potassium
D) Protein and calcium

Question

Quizplus · Accepted Answer

Protein should be restricted because it contributes to the development of encephalopathy; sodium should be restricted because it contributes to the development of edema.Release of lipids from their storage depots is accelerated, but the liver has decreased ability to metabolize them for energy.Moreover, inadequate production of bile salts by the liver results in malabsorption of fat from the diet.

A Patient Is Admitted to the Critical Care Unit with Severe