A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?

A. While Lactated Ringer's is often used for fluid resuscitation, it doesn't contain the necessary nutrients to replace TPN. It can lead to electrolyte imbalances and other complications if used for extended periods.
B. While Dextrose 10% provides calories, it lacks essential amino acids, electrolytes, and other nutrients found in TPN. Prolonged use can lead to imbalances and nutritional deficiencies.
C. Dextrose 5% in water is a commonly used IV fluid that can be administered temporarily while waiting for the next TPN container. It provides hydration and some calories, but it's important to monitor the client's glucose levels closely.
D. While 0.9% sodium chloride (normal saline) is used for fluid replacement, it can lead to hypernatremia (excess sodium) if used for extended periods, especially in clients receiving TPN.

A. This device is used to prevent hip rotation and adduction. It is placed along the lateral side of the client's hips to keep the hips in a neutral position, preventing external rotation and adduction. It does not specifically address plantar flexion contractures of the feet.
B. This device is used primarily to reduce pressure and prevent heel ulcers, not to prevent plantar flexion contractures. Sheepskin pads provide cushioning to prevent pressure sores, but they do not help in maintaining the proper position of the feet to prevent contractures.
C. This is the appropriate device for preventing plantar flexion contractures. A footboard is placed at the end of the bed to keep the feet in a dorsiflexed position, preventing them from curling downward. It helps maintain the feet in a neutral or slightly dorsiflexed position, thus preventing plantar flexion contractures.
D. This device is used to maintain the hips in an abducted position, typically following hip surgery. It prevents the legs from coming together and helps with hip alignment but does not address the issue of plantar flexion contractures.