Answer the following nutrition questions:
1. Why is providing adequate carbohydrates to spare protein important to preventing complications in liver failure?
a) Inadequate carbohydrates leads to an osmotic fluid shift and worsened ascites.
b) Inadequate carbohydrates leads to higher blood sugars that cannot be processed by the liver.
c) Inadequate carbohydrates leads to high blood pressure.
d) Inadequate carbohydrates leads to protein being used as an energy source that increases ammonia levels.
2. Why is a fat restriction recommended to treat liver failure?
a) because those with liver failure are at higher risk of heart disease.
b) because lack of bile leads to fat malabsorption.
c) because it helps decrease portal hypertension.
d) because it helps obese patients lose weight.
3. Why is weight loss as a predictor of malnutrition often difficult to measure in liver failure?
a) because ascites and edema can give a false higher weight, masking weight loss
b) because weight is not accurate due to loss of glycogen stores in the liver
c) because patients are too weak to weigh
d) because obesity in this population makes it more difficult to measure weight loss
4. Which of these foods are considered good protein sources? Select all that apply.
- spinach
- banana
- chicken
- pork
- black beans
- beef broth
5. Which of the following are considered low fat food choices? Select all that apply.
- roasted chicken breast
- baked potato
- bacon
- Pepsi/Coke
- avocado
- cheese
- baked potato
6. Write out how you would help improve food intakes in a patient with liver failure to decrease risk of malnutrition?
Answer 1: (b)Inadequate carbohydrates leads to higher blood sugars that cannot be processed by the liver.
Rationale: The excessive sugar in the blood can not be processed by the liver as pancreas doesn't produce enough insulin to utilize the glucose ans store it. Hence the carbohydrates deficiency causes increased blood glucose level.
Answer 2: (b)because lack of bile leads to fat malabsorption.
Rationale: In the case of the liver failure, there is insufficient or very low amount if the bile production. This causes imbalance in the fat absorption.
Answer 3:(d ) because obesity in this population makes it more difficult to measure weight loss.
Rationale: Usually onese people develop fatty liver but in the case of liver failure there could be various reasons.
Answer 4: Spinach, Chicken, prok.
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