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?
A)Because the liver may not be able to detoxify proteins, carbohydrates are substituted to meet metabolic and nutritional needs
B)Proteins are given in insufficient amount to facilitate tissue repair. High carbohydrate diet prevents further weight loss and spares proteins from energy metabolism. Sodium restriction facilitates management of fluid imbalances.
C)High protein foods are harder to digest and also have a high sodium content. Carbohydrates are more palatable and will more quickly correct the client's weight loss.
D)High carbohydrate diets, particularly if they contain adequate fiber, are more likely to decrease dyspepsia and diarrhea. Sodium is always restricted when the client is edematous.

Question

Quizplus · Accepted Answer

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.

Raj, Age 45 Years Old, Is Diagnosed with Cirrhosis and Has