A key component in the etiology of hepatic encephalopathy is:
a. fatty infiltration of the liver.
b. hyperglycemia.
c. high ammonia levels in the systemic circulation.
d. reduced blood flow to the brain.
Q. 2Development of ascites in clients who have cirrhosis is related to:
a. protein deficiency.
b. excess fat intake.
c. iron deficiency.
d. excess intake of sodium.
Q. 3The earliest clinical manifestations of cirrhosis include:
a. jaundice and weakness.
b. nausea, vomiting, and anorexia.
c. gastrointestinal bleeding and anemia.
d. ascites and edema.
Q. 4Adequate dietary protein is essential for recovery from hepatitis because protein:
a. is needed for liver cell regeneration.
b. is needed to produce energy.
c. restores liver glycogen reserves.
d. helps to preserve adipose tissue.
Q. 5The amount of protein that should be consumed by a client who has viral hepatitis is:
a. 0.8 to 1.0 g/kg body weight.
b. 1.0 to 1.2 g/kg body weight.
c. 1.2 to 1.5 g/kg body weight.
d. 1.5 to 2.0 g/kg body weight.
Q. 6Pathologic changes in the liver caused by cirrhosis include:
a. cellular hyperplasia.
b. calcification.
c. cell mutations.
d. fatty infiltration.
Q. 7In patients with viral hepatitis, the major barrier to adequate nutritional intake is:
a. anorexia.
b. diarrhea.
c. malabsorption.
d. pain after eating.
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