A client with alcoholism and cirrhosis of the liver is admitted after 2 days of vomiting and diarrhea. The physician orders a hydrating solution of 5 dextrose in water intravenously.
If thiamin is not included in that order, the nurse should inquire about it because:
1. Thiamin is necessary to predigest the dextrose for immediate absorption
2. Intravenous glucose without thiamin in the cirrhosis client can precipitate the Wernicke-Korsakoff syndrome
3. Thiamin prevents folic acid stores from being diluted by the hydrating solution
4. Deficiency of thiamin causes delirium tremens
Question 2
When teaching a client with celiac disease about diet, which of the following would the nurse include as appropriate for consumption?
1. Corn flakes and skim milk
2. Canned tomato soup and saltines
3. Country-fried steak and French-fried cauliflower
4. Commercial ice cream and bakery sugar cookies
To increase pressure using body weight, lean on your client.
Greet a First-Time Client With a Firm Handshake.
Positioning the client
Testing patellar reflex, client in a sitting position
Testing the Achilles tendon reflex with client in a sitting position
Liver scratch test