The nurse would anticipate the use of a 5% dextrose-containing IV solution for which of the following clients?
1. The malnourished client
2. The diabetic client
3. The client who will be n.p.o. for 12-24 hours
4. The client who will be n.p.o. for 5-7 days
3
Rationale: Dextrose-containing IV solutions provide enough glucose to prevent ketosis in the client who will be n.p.o. for 12-24 hours, but do not provide enough sugar to maintain the malnourished client or the client who will have nothing by mouth for as long as a week. These clients would require a higher dextrose concentration, as found in TPN. The diabetic client should receive dextrose-containing solutions with care, and the client's overall condition and blood sugar would determine whether an isotonic solution would be given (if blood sugar levels are high) or a dextrose solution used (if blood sugar levels are low and well controlled).
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Correct the medical notation of the following order
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A licensed practical/vocational nurse is caring for a client with end-stage lung cancer
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