The nurse caring for a client diagnosed with cirrhosis of the ...

[notis]

The nurse caring for a client diagnosed with cirrhosis of the liver promotes a diet:
 
  1. High in protein and carbohydrates.
  2. High in vitamin B and fats.
  3. High in fat and vitamin K, low in protein.
  4. Low in protein, with vitamin K and B supplements.

Question 2

When caring for a child with a diagnosis of croup, the nursing care of the child most likely will include:
 
  1. Providing cool mist and a quiet environment.
  2. Encouraging parents to go home at night so the child can rest.
  3. Probing the throat area to obtain a throat culture.
  4. Making the child n.p.o. to prevent aspiration.

[pratush dev]

Answer to Question 1

4
Rationale: The liver metabolizes protein and produces ammonia, which should be minimized in the client with cirrhosis, so a low-protein diet is indicated, although a daily hard-boiled egg is encouraged because it is high in many B vitamins and provides some protein. Fat is also digested by the liver, and so should not be increased, but rather maintained at approximately 30 of the diet. Carbohydrates will provide the energy required by the body. Vitamin K and B supplementation is important because they are poorly metabolized in the body of the client with cirrhosis.

Answer to Question 2

1
Rationale: The child with croup will benefit from a quiet environment with a cool mist vaporizer at the bedside to reduce swelling and loosen secretions. Parents should be encouraged to remain with the child to reduce anxiety. Probing the throat should be avoided, and fluids should be encouraged.

[notis]

TYSM

[mohan]

Excellent