A family member of a patient asks the nurse about the protein-restricted diet ordered because of advanced liver disease with hepatic encephalopathy. What statement by the nurse would best explain the purpose of the diet?
a. "The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system."
b. "The liver heals better with a high-carbohydrate diet rather than with a diet high in protein."
c. "Most people have too much protein in their diets. The amount in this diet is better for liver healing."
d. "Because of portal hypertension, the blood flows around the liver, and ammonia made from protein collects in the brain, causing hallucinations."
ANS: A
The patient with hepatic encephalopathy is on a very low-protein to no-protein diet. The goal of management of hepatic encephalopathy is the reduction of ammonia formation in the intestines.
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