Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which item is NOT included in the management of a hepatic diet?

1. Fluid management

2. Carbohydrate restriction

3. Protein control

4. Sodium limitation

The correct answer is: Carbohydrate restriction

In the management of a hepatic diet, carbohydrate restriction is typically not a primary focus. Instead, dietary management for individuals with liver conditions often includes controlling protein intake, as excessive protein can lead to the accumulation of ammonia in the blood, especially in patients with hepatic encephalopathy. Additionally, sodium limitation is crucial in patients with liver disease to help prevent fluid retention and the development of ascites. Fluid management also plays a role, particularly in cases of edema or ascites. Conversely, while dietary adjustments concerning carbohydrates may be beneficial, they are generally not prioritized to the extent of protein control, sodium limitation, or fluid management, making carbohydrate restriction less critical in the comprehensive approach to hepatic diets.