A nurse is caring for a patient who has an order to discontinue the administration of parenteral nutrition. What should the nurse do to prevent the occurrence of rebound hypoglycemia in the patient?
A) Administer an isotonic dextrose solution for 1 to 2 hours after discontinuing the PN.
B) Administer a hypertonic dextrose solution for 1 to 2 hours after discontinuing the PN.
C) Administer 3 ampules of dextrose 50% immediately prior to discontinuing the PN.
D) Administer 3 ampules of dextrose 50% 1 hour after discontinuing the PN.
Ans: A
Feedback:
After administration of the PN solution is gradually discontinued, an isotonic dextrose solution is administered for 1 to 2 hours to protect against rebound hypoglycemia. The other listed actions would likely cause hyperglycemia.
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