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Exam NCLEX-RN topic 7 question 106 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 106
Topic #: 7
[All NCLEX-RN Questions]

Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?

  • A. Fresh fruit
  • B. A milkshake
  • C. Saltine crackers and peanut butter
  • D. A ham and cheese sandwich
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Suggested Answer: A 🗳️
(A) High levels of ammonia, a by-product of protein metabolism, can precipitate metabolic encephalopathy. These clients need a diet high in carbohydrates and bulk. (B) Metabolic encephalopathy of the brain associated with liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism. (C, D) Metabolic encephalopathy in liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism.
by [deleted] at March 10, 2025, 7:21 a.m.

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