A Client with Alcoholism and Cirrhosis of the Liver Is

question 15

Multiple Choice

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:

• A) Thiamin is necessary to predigest the dextrose for immediate absorption
• B) Intravenous glucose without thiamin in the cirrhosis client can precipitate the Wernicke-Korsakoff syndrome
• C) Thiamin prevents folic acid stores from being diluted by the hydrating solution
• D) Deficiency of thiamin causes delirium tremens

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