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ISPN考试模拟试题(478)

Question:

Which of the following diet instructions are appropriate when teaching aclient in the early stages of cirrhosis about nutritional needs? Select all that apply. 

1. “Limit your caloric intake so that you don’t become overweight.” 

2. “An adequate intake of protein is important to your health.” 

3. “I encourage you to eat small, frequent meals.” 

4. “Restrict your fluid intake to 1,000 mL/day.” 

5. “Limit your alcohol intake to one glass of wine daily.”

 

Appropriate diet instructions for the client in the early stages of cirrhosis include ensuring an adequate intake of protein and eating small, frequent meals. There is no need to limit protein intake unless the client has evidence of hepatic encephalopathy. Additionally, fluid intake is not restrictedunless the client has significant ascites or edema (these typically occur later in the disease). Because of gastrointestinal dysfunction, small, frequent meals are frequently better tolerated than three regular meals. Clients with cirrhosis should be encouraged to increase their caloric intake instead of restricting it. Alcohol intake in any amount is discouraged.

CN: Physiological adaptation; CL: Synthesize

Answer:2,3

 

翻译

问题:

当教导肝硬化早期患者营养需求时,以下哪项饮食指导是合适的?选择所有适用的选项。

1.“限制热量的摄入,这样你就不会超重。

2.“摄入足够的蛋白质对你的健康很重要。

3.“我建议你少吃多餐。

4.“将你的液体摄入量限制在每天1000毫升。

5.“将酒精摄入量限制在每天一杯之内。

 

答案:2,3

在肝硬化的早期阶段,适当的饮食指导包括保证足够的蛋白质摄入和少吃多餐。除非病人有肝性脑病的证据,否则没有必要限制蛋白质的摄入量。此外,如果病人没有明显的腹水或水肿(这些通常发生在疾病后期),液体的摄入就不会受到限制。由于肠胃功能不全,少食多餐往往比三顿正餐耐受性更好。应该鼓励肝硬化患者增加热量摄入,而不是限制热量摄入。任何数量的酒精摄入量都是不鼓励的。

CN:生理适应;CL:合成

小编寄语:When destiny wants you to grow up, it will always arrange some unpleasant people or things to stimulate you.命运要你成长的时候,总会安排一些让你不顺心的人或事刺激你。

时间:2021/3/18 10:18:17
 
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