A 65-year-old client is admitted to the unit after 3 days of severe diarrhea and vomiting from gastroenteritis. The client is markedly dehydrated and unable to tolerate oral fluids because of nausea. The physician has left a telephone order for intravenous D5NS for infusion at 300 mL per hour for the initial 2 hours and then 150 mL per hour thereafter. The physician stated she would visit the patient in 2 to 4 hours. The nurse caring for the client is unsure that the IV solution is appropriate and asks the CNL for advice. Which of the following is the BEST advice?

CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures.  To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization.... Show more

CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures. 

To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization. Graduates from CNL programs are eligible to sit for the Commission on Nurse Certification (CNC) CNL exam. Candidates who pass the exam are certified as CNLs. 

The CNL exam consists of 140 multiple-choice, single answer questions. Some items are presented in a case study format with multiple questions related to the specific case study. Candidates have 3 hours to complete the examination.

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