Discuss NCLEX NCLEX-RN Exam Topic 3 Question 20

A client has a history of alcoholism. He is currently diagnosed with cirrhosis of the liver. The nurse would expect him to be on which type of diet?

AHigh protein and high calorie

BHigh calorie and high carbohydrate

CLow-fat 2-g sodium diet

DHigh protein and high fat

Suggested Answer: B

(A) A high-protein diet is contraindicated in hepatic disease. (B) High carbohydrates provide high-caloric content to prevent tissue catabolism. (C) A low-fat 2-g sodium diet is a cardiac diet; however, a low-fat diet would be beneficial. (D) A high-protein and high-fat diet is contraindicated in hepatic disease.

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17 comments · newest first

Kerry 23 days ago

Yes, we want to support their recovery, not stress the liver more.

Benedict 28 days ago

Right, balance is key. B seems safest for cirrhosis.

Jennifer 1 month ago

Good point. I just worry about the overall health of the client.

Kerry 1 month ago

Exactly! Plus, high protein can be tough on the liver.

Benedict 1 month ago

True, but carbs help with energy when the liver is struggling.

Jennifer 2 months ago

But what about protein? A might be good too.

Kerry 2 months ago

I agree, especially for energy needs.

Benedict 2 months ago

I think it should be B. High calorie and high carbohydrate.

Vesta 2 months ago

I agree, carbs can help with energy levels in these cases.

Carman 2 months ago

Really? High carb? That seems counterintuitive.

Dyan 2 months ago

Definitely high calorie, they need extra energy!

Elbert 3 months ago

I thought it was supposed to be low-fat for liver issues?

Jeanice 3 months ago

The diet should be high calorie and high carbohydrate.

Sonia 3 months ago

I feel like high protein is important, but I’m confused about the fat content. Wouldn't high fat be risky for liver patients?

Luisa 3 months ago

I practiced a question like this before, and I think it was about managing protein intake due to liver issues.

Allene 3 months ago

I remember something about cirrhosis needing a low sodium diet, but I can't recall the specifics about protein and fat.

Toi 4 months ago

I think the diet should be high in calories, but I'm not sure if it's high in carbohydrates or protein.

NCLEX-RN Exam - Topic 3 Question 20 Discussion