A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered a sliding scale insulin. The most likely explanation for this order is: A. Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels. B. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. C. Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels. D. Total Parenteral Nutrition leads to further pancreatic disease.

Short Answer

Expert verified
Answer: The most likely explanation for the doctor's order of sliding scale insulin is that TPN is a high-glucose solution that often elevates blood glucose levels, necessitating the use of insulin to manage these elevated levels.

Step by step solution

01

Understand the options

First, let's take a closer look at each option provided: A. TPN leads to negative nitrogen balance and elevated glucose levels. B. TPN cannot be managed with oral hypoglycemics. C. TPN is a high-glucose solution that often elevates the blood glucose levels. D. TPN leads to further pancreatic disease.
02

Evaluate Option A

Option A states that TPN leads to negative nitrogen balance and elevated glucose levels. A negative nitrogen balance can lead to muscle wasting, but it doesn't explain why a doctor would prescribe sliding scale insulin.
03

Evaluate Option B

Option B states that TPN cannot be managed with oral hypoglycemics. Oral hypoglycemics are used to manage diabetes, but this option does not provide sufficient information to explain the reason for prescribing sliding scale insulin.
04

Evaluate Option C

Option C states that TPN is a high-glucose solution that often elevates the blood glucose levels. This option makes sense in explaining the need for sliding scale insulin, as it is used to manage blood glucose levels in response to elevated glucose levels in the body.
05

Evaluate Option D

Option D states that TPN leads to further pancreatic disease. While it is possible that TPN may have an impact on pancreatic function, this option does not explain the specific reason for prescribing sliding scale insulin.
06

Determine the most likely explanation

Based on the analysis of the given options, option C is the most probable explanation for the doctor's order for sliding scale insulin. TPN is a high-glucose solution that often elevates blood glucose levels, necessitating the use of insulin to manage these elevated levels.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with Vaia!

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab in order for them to collect the blood: A. 15 minutes after the infusion B. 30 minutes before the infusion C. 1 hour after the infusion D. 2 hours after the infusion

The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot? A. Application of a short inclusive spica cast B. Stabilization with a plaster-of-Paris cast C. Surgery with Kirschner wire implantation D. No bandages to be used to correct the fractured foot

A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by: A. Passing water through the dialyzing membrane B. Eliminating plasma proteins from the blood C. Lowering the pH by removing nonvolatile acids D. Filtering waste through a dialyzing membrane

A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: A. Douche after intercourse B. Void every 3 hours C. Obtain a urinalysis monthly D. Wipe from back to front after voiding

A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for: A. Allergies to pineapples and bananas B. A history of streptococcal infections C. Prior therapy with phenytoin D. A history of alcohol abuse

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.

Sign-up for free