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.
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.
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