Nutrition and Diet Therapy 6th Edition by Carroll Lutz, Erin Mazur , Nancy Litch

Exercise 20

Mr. W is a 55-year-old White man admitted to the acute care unit for jaundice and ascites secondary to cirrhosis of the liver. He has gained 15 pounds in the past 3 weeks, and his serum sodium is 125 mEq/L. He is a diagnosed alcoholic who has been through a detoxification program several times in the past 5 years. The dietitian has instructed 1.Mr. W on a 1500-mg sodium diet with a fluid restriction of 1000 mL per day. 1.Mr. W vomits immediately after his next meal. The physician then 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) Deficiency of thiamin causes delirium tremens.
C) Intravenous glucose without thiamin in the cirrhosis client can precipitate the Wernicke- Korsakoff syndrome.
D) Thiamin prevents folic acid stores from being diluted by the hydrating solution.