At the beginning of the 7 am-3 pm shift, the nurse checks her assigned clients and notes that a client with diabetes mellitus has an intravenous (IV) bag of 5% dextrose in water hanging and infusing instead of the prescribed 0.9% normal saline. The nurse verifies the prescription and changes the IV solution to the correct one. The nurse assesses the client noting that the blood glucose level at 7:15 am was 149 mg/dL, notifies the physician, and completes an incident report. Which information about the event is appropriate for inclusion on the incident report?
A. The physician was contacted.
B. The blood glucose level at 7:15 am was 149 mg/dL.
C. An IV solution of 5% dextrose in water was infusing at 7 am.
D. A solution of 5% dextrose in water was infusing instead of the prescribed 0.9% normal saline solution.
E. A 5% dextrose in water solution is not usually prescribed for clients with diabetes, and the solution was changed immediately on its discovery.
Ans:
A. The physician was contacted.
B. The blood glucose level at 7:15 am was 149 mg/dL.
C. An IV solution of 5% dextrose in water was infusing at 7 am.
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