A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Answer: C. Keep the solution refrigerated until 1 hr before infusion.

Rationale:

A. Change the solution every 36 hr:
Total parenteral nutrition (TPN) solutions should be changed every 24 hours to prevent contamination and bacterial growth. Therefore, changing the solution every 36 hours would not adhere to best practice guidelines.

B. Obtain the client's weight three times a week:
While monitoring the client’s weight is important, especially for those on TPN, it should be done daily to accurately assess fluid balance and nutritional status. This frequency allows for timely adjustments to the TPN regimen.

C. Keep the solution refrigerated until 1 hr before infusion:
This action is correct. TPN solutions must be refrigerated to maintain stability and prevent bacterial growth. Allowing the solution to come to room temperature for at least 1 hour before infusion helps ensure that the solution is at a safe and comfortable temperature for the client.

D. Check the client's WBC count daily:
While monitoring the WBC count can be important for detecting infection, it is not a standard daily requirement specifically related to TPN administration. The priority is to focus on monitoring the client's nutritional status and fluid balance more closely during TPN therapy

A) "This medication will not interfere with the effectiveness of oral contraceptives": Rifampin is known to induce hepatic enzymes, which can accelerate the metabolism of oral contraceptives and reduce their effectiveness. Therefore, it is essential for clients taking rifampin to use alternative or additional contraceptive methods to prevent pregnancy.

B) "You can continue to wear soft contact lenses while taking this medication": Rifampin can cause discoloration of bodily fluids, including tears, which may stain soft contact lenses. Therefore, clients taking rifampin should be advised to avoid wearing soft contact lenses during treatment to prevent discoloration and potential eye irritation.

C) "You should take this medication once each day at bedtime": Rifampin is usually taken once daily, but the specific timing may vary depending on the indication and healthcare provider's instructions. While taking rifampin at bedtime may be suitable for some clients, it is important to follow the prescribed dosing schedule provided by the healthcare provider.

D) "Your urine will turn orange while you are taking this medication": Rifampin can cause harmless discoloration of urine, tears, saliva, sweat, and other bodily fluids, turning them orange-red. This side effect is temporary and not harmful. However, informing the client about this potential effect is essential to prevent alarm or unnecessary concern.