A nurse is preparing discharge instructions for a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?
Explanation & Rationale
A. "Ensure that you eat three large meals per day to keep your calories up.": Large meals can put stress on the liver and gastrointestinal system. It is better to recommend smaller, more frequent meals to help with digestion and nutrient absorption. B. "Increase your activity as much as possible. You need to remain active.": While moderate activity is important, clients with cirrhosis may experience fatigue or fluid retention. Overexertion should be avoided, and activity should be based on tolerance. C. "Avoid high-sodium foods such as canned soups/vegetables, processed meats, and prepackaged frozen dinners.": This is a crucial recommendation. Clients with cirrhosis need to limit sodium to reduce fluid retention, ascites, and edema, which are common complications of the disease. D. "Take pain-relief medication such as acetaminophen to relieve discomfort associated with ascites.": Acetaminophen should be avoided in liver disease because it can further damage the liver. Alternative pain management should be explored.