A client with portal-systemic encephalopathy (PSE) is placed on a protein-restricted diet. What is the rationale for this diet choice?
A. A low-protein diet will help restore liver function.
B. A low-protein diet will help reduce the amount of ammonia in the blood.
C. The diet will give the liver a chance to rest.
D. Once albumin levels are normal, less protein is needed to prevent fluid from leaking into the abdomen.
B
A low-protein diet is ordered when serum ammonia levels increase and/or the client shows signs of PSE. A low-protein diet helps reduce the excessive breakdown of protein into ammonia by intestinal bacteria.
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What are the advantages of a freestanding birth center? (Select all that apply.)
a. Home-like setting b. Designed for high-risk pregnancies c. Lower costs d. Attended by certified obstetricians e. Immediate emergency access
The nurse manager holds a staff meeting and announces, "I want to aggressively manage the stress on this unit." Why would the manager have this goal?
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Which of these factors contributes to a client developing gastritis?
a. exposure to irritating substances such as ibuprofen b. impaired esophageal sphincter function c. high-fat diet d. viral infection
Which individual would a nurse consider to be at the highest risk for the onset of stress-related problems?
a. A patient whose beloved parent died 3 months ago and who has lost a job because of corporate restructuring. The patient states, "Living with loss and the threat of loss makes me feel helpless.". b. A patient who was passed over for promotion and quit to start a new business. The patient states, "This is just one of a series of challenges I've faced in my life.". c. A patient who is graduating from college and will be married in one month. The patient states, "I'm anticipating the changes these events will make in my life.". d. A married patient whose new business is growing slowly and who plans to adopt a child. The patient says, "I think I'm in control of my destiny.".