Question

A nursing instructor is teaching nursing students about cirrhosis of the liver. Which of the following statements about the complications of hepatic encephalopathy should indicate to the nursing instructor that further student teaching is needed?
1. "A diet rich in protein will promote hepatic healing."
2. "This condition results from a rise in serum ammonia, leading to impaired mental functioning."
3. "In this condition, an excessive amount of serous fluid accumulates in the abdominal cavity."
4. "Neomycin and lactulose are used in the treatment of this condition."
5. "This condition is caused by the inability of the liver to convert ammonia to urea."

Answer 1

Answer:

Answer:

Explanation:

Answer:

1. "A diet rich in protein will promote hepatic healing."

The nurse should begin by stating that;

Hepatic Encephalopathy  is a clinical condition  where there is  continuous fluctuations in the levels of arousability and responsiveness of an individual to stimuli from the normal standard level. it is  caused by  liver failure. in this scenario due to Cirrhosis of the liver.

she should briefly state the role of the liver in amino acid metabolisms,

One of the principal function of the liver is deamination of amino acids, where the amino group is converted to keto acid and ammonia, and metabolism of the ammonia to urea  to free the body of toxic ammonia.

and therefore conclude that;

The intake of diet rich in protein will complicate the H E cases because, the liver will not be able to  deaminate amino acid.Therefore intestinal ammonia levels will rise. Leading to  toxicity of ammonia in the blood; by increasing the blood alkalinity, disrupting kreb's cycle and neurotransmitters synthesis.

Thus the option 1 is wrong.

i

Explanation:

Answer 2

Answer: 1. A diet rich in protein will promote hepatic healing.

Explanation: All other statements are in line with hepatic encephalopathy. An increased protein intake would worsen the liver disease.