If his protein levels are so low, why isn't John Doe on a high-protein diet?
What will be an ideal response?
• The dietary intake of protein is reduced to restrict the buildup of NH3, a by-product of protein
digestion. Restrictions will vary from patient to patient; however, protein is usually restricted to
about 60 g/day. Protein intake of 40 g/day can contribute to malnutrition and worsening hepatic
encephalopathy.
• The tube feeding, if ordered, should be specific for liver-failure patients. The protein source should
be high in branched-chain amino acids and low in aromatic and NH3-forming amino acids.
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Therapeutic fluids are used to administer medication to the patient
Indicate whether the statement is true or false
Upon admission for symptoms of alcohol withdrawal, a client states, "I haven't eaten in 3 days." Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97°F (36°C) with dry skin, dry mucous membranes, and poor skin turgor
What should be the priority nursing diagnosis? A. Knowledge deficit B. Fluid volume excess C. Imbalanced nutrition: less than body requirements D. Ineffective individual coping
When the advanced practice nurse applies nursing knowledge with physical, psychosocial, and environmental assessment skills to respond to common health and illness problems, the nurse is referred to as a(n)
1. Advanced practice nurse 2. Community health nurse specialist 3. Nurse practitioner 4. Public health clinical nurse specialist
The nurse is planning care to prevent complication for a client with multiple myeloma. Which intervention is most important for the nurse to include?
A) Safety precautions during activity. B) Assess for changes in size of lymph nodes. C) Maintain a fluid intake of 3 to 4 L per day. D) Administer narcotic analgesic around the clock.