A patient recovering from a liver transplant is at risk for malnutrition. What would the nurse include when planning care for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Consult with a dietician to plan for adequate energy from carbohydrates or fats.
2. Provide nutritional supplements enterally.
3. Prepare for placement of a central line for parenteral nutrition.
4. Encourage high-protein foods.
5. Restrict fruits and vegetables.
1,2
Rationale 1: The goal of nutritional support post-operatively is to provide adequate protein and energy from carbohydrates or fats equivalent to or slightly less than energy expenditure.
Rationale 2: Nutritional requirements are provided enterally.
Rationale 3: Parenteral nutrition is associated with increased risk of infection in the liver transplant recipient.
Rationale 4: Protein intake should be adequate and not more than body needs.
Rationale 5: Fruits and vegetables do not need to be restricted. They should be washed, peeled, and cooked to reduce the risk of infection.
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