Question

In discussing long term management with the patient with alcoholic cirrhosis, the nurse advises the patient that?

1) a daily exercise regimen is important to increase the blood flow through the liver
2) cirrhosis can be reversed if the patient follows a regimen of proper rest and nutrition
3) abstinence from alcohol is the most important factor in improvement of the patient's condition
4) the only over the counter analgesic that should be used for minor aches and pains is acetaminophen

Answer 1

The most crucial factor in managing alcoholic cirrhosis is complete abstinence from alcohol. Cirrhosis is largely irreversible, and acetaminophen should be used cautiously due to potential liver damage.

Step-by-step explanation:

In the long term management of a patient with alcoholic cirrhosis, the nurse should advise that abstinence from alcohol is the most important factor in the improvement of the patient's condition. Cirrhosis, which is the formation of fibrous tissue in the liver replacing dead liver cells, leads to the progressive loss of liver function and is generally irreversible once it has occurred.

The focus of treatment is on preventing progression and managing complications. While exercise can have general health benefits, suggesting increased blood flow through the liver as a specific benefit may not be as impactful as other measures. Additionally, it is critical to note that acetaminophen should be used with caution as it can lead to liver damage, especially in those with existing liver disease and who consume alcohol.