The nurse is planning care for a patient with liver cirrhosis. Which of the following should be included to best ensure an adequate nutritional status for this patient?
1. Provide small, more frequent, high-protein meals.
2. Limit protein and B vitamin intake.
3. Ensure caloric intake of 10 to 15 calories per kg of body weight.
4. Encourage foods higher in sodium.
Provide small, more frequent, high-protein meals.
Rationale: Nutrition therapy in cirrhosis cases should include adequate protein intake to support hepatic regeneration. The B vitamins are depleted in liver cirrhosis and should not be restricted. Calorie needs can vary but are estimated to be between 35 to 40 calories per kg of body weight. Sodium intake will depend on the presence or absence of ascites or edema.
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Diminished or absent vibratory sensation can be the result of a(n)
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