A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Administer the PN and fat emulsion separately.
Prepare the client for a central venous line.
Obtain a random blood glucose daily.
Change the PN infusion bag every 48 hr.
The Correct Answer is B
Choice A rationale:
Administering the PN and fat emulsion separately is not necessary; they can be combined into one solution for administration.
Choice B rationale:
Preparing the client for a central venous line is appropriate when administering parenteral nutrition (PN) with a high dextrose concentration and fat emulsions. A central venous line is typically used for PN with higher osmolarity.
Choice C rationale:
Obtaining a random blood glucose daily is important for monitoring the client's response to PN but does not address the initial plan of care.
Choice D rationale:
Changing the PN infusion bag every 48 hours is not a standard practice. The frequency of bag changes should follow the facility's policy and the product manufacturer's guidelines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- A. Calcium 9.6 mg/dL: This value is within the normal range for calcium, which is typically between 8.7 to 10.2 mg/dL. Therefore, this value does not need to be reported to the provider.
- B. Potassium 5.8 mEq/L: This value is above the normal range for potassium, which is generally between 3.5 to 5.0 mEq/L. Elevated potassium levels can be dangerous and may indicate hyperkalemia, which requires prompt medical attention.
- C. Magnesium 1.9 mEq/L: This value falls within the normal range for magnesium, which is usually between 1.6 to 2.2 mg/dL. Thus, this is not a value that would typically be reported to the provider.
- D. Sodium 140 mEq/L: This value is within the normal range for sodium, which is commonly between 135 to 145 mEq/L. As such, it does not need to be reported to the provider.
Correct Answer is A
Explanation
Choice A rationale:
Tuberculosis is transmitted via airborne droplets, so airborne precautions are necessary. The nurse should wear an N95 respirator mask when caring for the client, and the client should be placed in a negative pressure room. Airborne precautions include wearing a respirator mask, placing the client in a negative pressure room, and limiting the movement of the client outside the room.
Choice B rationale:
Droplet precautions are used for infections that are spread by large respiratory droplets, such as influenza or pertussis.
Choice C rationale:
Contact precautions are used for infections that are spread by direct or indirect contact with the client or their environment, such as scabies or Clostridium difficile.
Choice D rationale:
Protective precautions are used for clients who are immunocompromised and at risk of infection from others, such as those who have had a stem cell transplant or chemotherapy.
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