The nurse is caring for a client diagnosed with alcoholic hepatic encephalopathy, and provides dietary teaching for the client and spouse
The nurse determines dietary teaching was understood when the spouse states she will prepare which of the following meals? 1. Steak, baked apple, deviled egg, and milk
2. Potato soup, mixed green salad, chocolate chip cookie, and iced tea
3. Tuna salad sandwich, potato chips, and vanilla custard
4. Toasted cheese sandwich, baked potato, and milk
2
Rationale: Hepatic encephalopathy is caused by accumulation of ammonia due to the damaged liver's inability to metabolize protein. Treatment includes reducing protein intake, and the diet including potato soup, mixed green salad, chocolate chip cookie, and iced tea would be lowest in protein while providing adequate calories and nutrition to a client whose nutritional status has likely been adversely affected by alcoholism.
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