The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient’s diet?
A. Meats and beans
B. Butter and gravies
C. Potatoes and pasta
D. Cakes and pastries
Correct Answer: A. Meats and beans
Meats and beans are high-protein foods. In liver failure, the liver is unable to metabolize protein adequately, causing protein by-products to build up in the body rather than be excreted. Have about 1.2 to 1.5 grams of protein per kilogram of body weight. This means that a 154-pound (70-kilogram) man should eat 84 to 105 grams of protein per day. Look for non-meat protein sources such as beans, tofu, and dairy products when you can.
Option B: Eat a moderate intake of fat, as prescribed by the provider. The increased carbohydrates and fat help prevent protein breakdown in the liver. Eat fruits and vegetables and lean protein such as legumes, poultry, and fish. Avoid uncooked shellfish.
Option C: Eat large amounts of carbohydrate foods. Carbohydrates should be the major source of calories in this diet. Increase the intake of carbohydrates to be in proportion with the amount of protein the client eats.
Option D: Liver disease can affect the absorption of food and the production of proteins and vitamins. Therefore, diet may influence the weight, appetite, and the amounts of vitamins in the body. Do not limit protein too much, because it can result in a lack of certain amino acids.
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