Since the majority of people with ascites have it because of the liver disease cirrhosis, detoxification is crucial. B vitamins help the liver out with its natural detoxifying processes, and a supplement can be taken to ensure proper vitamin levels are reached. Vitamins C and E are helpful, too.
Full Answer
Which is prescribed for a client diagnosed with chronic cirrhosis and ascites?
A client diagnosed with chronic cirrhosis has ascites and pitting peripheral edema as well as hepatic encephalopathy. Which of the following nursing interventions are appropriate to prevent skin breakdown? (Select all that apply.) Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites.
Who prepares the dietary treatment plan for cirrhosis of the liver?
The registered nurse (RN) prepares the dietary treatment plan for a client who has ascites secondary to cirrhosis of the liver. Which instruction should the RN include when teaching the dietary plan?
What is the diet for ascites and cirrhosis?
Ascites is the accumulation of large amounts of fluid in the abdomen. Doctors usually require a strict no-salt diet for people who have cirrhosis with ascites, as a high-sodium diet can make the condition worse. 14 The daily recommended sodium intake for people with ascites is 88 millimoles per liter (mmol) per day.
What is ascites in cirrhosis?
Ascites is the accumulation of large amounts of fluid in the abdomen. It is aggravated by a diet high in salt, so doctors usually require a strict no-salt diet for people who have cirrhosis with ascites.
What is the role of a registered nurse in cholecystitis?
The registered nurse (RN) is instructing a client with acute cholecystitis about dietary recommendations. Which food selection demonstrates to the RN that the client understands dietary teaching?
What foods are good after a gastrectomy?
C. Potatoes, mushrooms, and yogurt. D. Nuts, brown rice, and sunflower seeds. A. Cheese, eggs, and fish. -After a subtotal gastrectomy, there is less secretion of gastric intrinsic factor, which is needed to absorb nutritional vitamin B12.
What foods should I avoid after myocardial infarction?
Foods like peanut butter (A) are high in fat and protein and should be limited or avoided. Collard greens (B), eggs (C), and wheat bread are low in fat, and are better choices for a client with liver disease. The registered nurse (RN) is assisting a client with meal selections after a myocardial infarction (MI).
What are the changes to diet for cirrhosis?
13 If you develop one or more of these conditions, your doctor may recommend additional changes to your diet, including limiting salt, sugar, and protein.
What foods can you eat with cirrhosis?
Grains: Choose whole-grain bread, pasta, brown rice, and cereal instead of those made with refined white flour. Granola and granola bars may be approved for quick snacks as long as they’re low in sugar and sodium. Protein: Red meat isn’t approved for a cirrhosis diet, nor is any kind of processed lunch meat or sausage .
Why do people with cirrhosis become malnourished?
It’s not uncommon for people with cirrhosis to become malnourished due to changes in their metabolism and digestive issues that occur as the liver becomes more damaged.
How long does it take for cirrhosis to show up?
Signs of liver disease may take years to show up, and they do so only once damage to the liver has become severe (decompensated phase). 8 Since changing how you eat can only help prevent additional liver damage, but can’t heal what’s already occurred, you will likely need to be on a cirrhosis diet for a long time.
How to reduce sodium intake for cirrhosis?
If you’re reducing your sodium intake as part of a cirrhosis diet, try using fresh herbs and spices instead of table salt. 12 If you’re used to adding salt to your food and find it difficult to break the habit, your healthcare provider may allow you to use a salt substitute.
What is the function of the liver?
1 If your liver is damaged from cirrhosis, it is not able to efficiently perform one of its most important tasks: helping your body get nutrition from the food you eat.
What are the complications of cirrhosis?
You may need to adapt your diet if you develop complications from cirrhosis, such as ascites, hypoglycemia, and encephalopathy. 13 If you develop one or more of these conditions, your doctor may recommend you make additional changes to your diet, including limiting salt, sugar, and protein.
Who prepares the dietary treatment plan for a client who has ascites secondary to cirrhosis?
The RN prepares the dietary treatment plan for a client who has ascites secondary to cirrhosis of the liver. Which instruction should the RN include when teaching the dietary plan?
What is a low residue diet?
A low residue diet is low in fiber, soft in texture, and easily digested. Processed foods, like salami, are high in sodium, fat, and encased with a tough membrane and should be avoided.
How to reduce salt intake?
Decrease the intake of canned food can decrease salt intake. Increasing leafy green vegetables and fiber in a client's diet help maintain blood pressure and weight. Foods containing simple sugars should be exchanged for complex carbohydrates to aid in weight control.
What are some foods that are enriched with zinc?
Meats and shellfish, b/c they are enriched with zinc and promote wound healing.
What is the priority action of self-management?
The priority action of self-management is reinforcing dietary life-style changes, such as portion-controlled, heart healthy diet selections to acheive tight blood glucose control and to prevent complications with DM.
What to do during a nutrition consultation for elevated cholesterol?
During a nutrition consultation for elevated cholesterol, the dietician recommends that the client replace saturated fats with monounsaturated or polyunsaturated fats. What explanation should the practical nurse reenforce with the client about this change in fat in the diet?
What is the practical nurse's role in phenylketonuria?
The practical nurse is reinforcing dietary instructions to the parents of a 6-month-old baby boy diagnosed with phenylketonuria (PKU). Which foods should the PN direct the parents to eliminate in the infant's diet?
Is psylium a laxative?
psylium (Metamucil) is a bulk laxative and should be taken with full glass followed by another glass of fluid to be effective and decrease the chance of impaction. A Chinese male client who moves into an assisted living community is concerned that the community will not be able to meet his dietary preferences.
Does Vit K cause cirrhosis?
vit K. clients with cirrhosis have a decrease in bile production which is necessary for fat emulsification and absorption of fat-soluble vitamin K and a deficit in vitamin K puts the client at risk for bleeding due to a decrease in he patic synthesis of clo tting factors, such as prothrombin.
Which organ synthesizes protein, which may be impaired with cirrhosis?
The liver synthesizes protein, which may be impaired with cirrhosis.
Why does edema occur in cirrhosis?
the edema occurs because you liver produces fewer proteins that help draw fluid into the blood stream.
What is hypokalemia in hepatic encephalopathy?
Hypokalemia is a precipitating factor in hepatic encephalopathy. A client has advanced cirrhosis of the liver. The client's spouse asks the nurse why his abdomen is swollen, making it very difficult for him to fasten his pants.
How is Hep A transmitted?
The nurse is teaching a client and family about how to prevent the transmission of Hep A. The nurse explains that: b. Hep A is transmitted via the fecal oral route so frequent hand washing is the best mode of prevention. The client with cirrhosis of the liver asks the nurse why he has edema.
Can a liver biopsy cause hemorrhage?
a. the liver is the most vascular organ in the body. Therefore, a liver biopsy may cause hemorrhage. The nurse should assess for signs of hemorrhage (increased pulse and decreased BP) every 30 minutes. The visiting nurse is caring for a client with a dx of hep A.
Which organ is responsible for maintaining colloidal osmotic pressure?
a. the liver is responsible for the production of albumin, which in turn is responsible for maintaining colloidal osmotic pressure. With less production of albumin, the osmotic pressure decreases and edema develops.
Does lactulose help with cirrhosis?
d. lactulose aid in eliminating ammonia in the stool. Opiods and sedatives are metabolized in the liver, therefore should not be given to a patient with cirrhosis. A nurse is teaching a client who has hep B about home care.
What are the risk factors for cirrhosis of the liver?
Risk factors for the development of cirrhosis of the liver include excessive alcohol intake. Smoking, ingestion of salads, and exercise are not risk factors for the development of this health problem. A client with liver disease presents to the hospital with severe ascites.
What causes ascites in the abdominal cavity?
Ascites is the accumulation of plasma-rich fluid in the abdominal cavity. Although portal hypertension is the primary cause of ascites, decreased serum proteins and increased aldosterone also contribute to the fluid accumulation. Hypoalbuminemia (low serum albumin) decreases the colloidal osmotic pressure of plasma. This pressure normally holds fluid in the intravascular compartment, but when the plasma colloidal osmotic pressure decreases, fluid escapes into extravascular compartments. Hyperaldosteronism (an increase in aldosterone) causes sodium and water retention, contributing to ascites and generalized edema.
How many stools does a patient have daily?
The patient has at least one stool daily.
What does it mean when your bilirubin is normal?
Normal bilirubin levels would indicate that the transplanted liver is functioning correctly. Normal pupil reaction, leg movement, and moist mouth membranes are all normal findings for any postoperative client.
How to help a client with jaundice?
1.Assist the client in expressing feelings. 2.Restrict visitors until the jaundice subsides.
What is the role of a nurse in a client with viral hepatitis?
The nurse is teaching the client with viral hepatitis about the stages of the disease. The nurse should explain to the client that the second stage of this disease is characterized by which specific assessment findings? Select all that apply.
What is the purpose of a radioisotope liver scan?
A radioisotope liver scan assesses liver size and hepatic blood flow and obstuction. Magnetic resonance imaging is used to identify normal structures and abnormalities of the liver and biliary tree. Angiography is used to visualize hepatic circulation and detect the presence and nature of hepatic masses. Electroencephalography is used to detect abnormalities that occur with hepatic coma (p. 1382).
What causes elevated ammonia levels in the GI tract?
Circumstances that increase serum ammonia levels tend to aggravate or precipitate hepatic encephalopathy. The largest source of ammonia is the enzymatic and bacterial digestion of dietary and blood proteins in the GI tract. Ammonia from these sources increases as a result of GI bleeding (ie, bleeding esophageal varices, chronic GI bleeding), a high-protein diet, bacterial infection, or uremia (p. 1394).
Why is my stool gray and white?
A gray-white stool color is common with a biliary obstruction because the stool is no longer colored with bile pigments (p. 1432).
Can an x-ray show ascites?
Ultrasonography of the liver and abdomen will definitively confirm the presence of ascites. An abdominal x-ray, colonoscopy, and computed tomography of the abdomen would not confirm the presence of ascites (p. 1382).