A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?
Change the IV tubing for TPN solution every 72 hr.
Discard the remaining TPN solution that is still infusing after 24 hr.
Change the dressing around the IV site weekly.
Remove TPN from the refrigerator 5 min before infusing it.
The Correct Answer is B
Choice A rationale:
Changing the IV tubing for TPN solution every 72 hr is not necessary unless there is a complication or a specific reason to do so. TPN tubing should be changed based on the facility's protocol and the patient's condition, not on a fixed time frame.
Choice B rationale:
This choice is the correct answer. TPN solutions are susceptible to bacterial growth due to their nutrient-rich composition. Discarding any remaining TPN solution after 24 hr helps minimize the risk of bacterial contamination and subsequent infection in the patient.
Choice C rationale:
Changing the dressing around the IV site weekly is a common practice for peripheral IV sites, but TPN administration usually requires a more frequent dressing change due to the higher risk of infection associated with central venous access.
Choice D rationale:
Removing TPN from the refrigerator 5 min before infusing it is unnecessary. TPN solutions are typically stored in a refrigerator and should be brought to room temperature gradually before administration. However, 5 minutes is not sufficient time for the solution to reach an appropriate temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Caramel popcorn is not an appropriate choice for toddlers due to its high sugar content and potential choking hazard from hard or sticky pieces.
Choice B rationale:
Cooked spaghetti with sauce is an appropriate choice for toddlers. It provides carbohydrates for energy, and the sauce can contain vegetables and proteins, making it a balanced option.
Choice C rationale:
Steak cut into small pieces might not be suitable for toddlers, as it could be difficult for them to chew and may not provide the appropriate texture for their developing teeth.
Choice D rationale:
Hot dogs cut into fourths may pose a choking hazard for toddlers due to their cylindrical shape and potential difficulty in chewing. They are also processed meats, which are not the healthiest option for young children.
Correct Answer is B
Explanation
Choice A rationale:
Using a washcloth to clean denture surfaces is not the recommended method as it can lead to scratches on the dentures, making them more susceptible to bacterial growth and staining.
Choice B rationale:
Wiping dentures before storing them in a dry container at night is the correct choice. This practice helps remove debris and bacteria, preventing them from accumulating overnight. Storing dentures in a dry container helps maintain their shape and prevents the growth of microorganisms that thrive in moist environments.
Choice C rationale:
Flossing dentures is not necessary and may damage or distort them. Unlike natural teeth, dentures do not have interdental spaces that require flossing.
Choice D rationale:
Wrapping gloved fingers with gauze to remove dentures is not the best practice, as it may cause damage to the dentures and also increases the risk of contamination.
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