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?
Remove TPN from the refrigerator 5 min before infusing it.
Change the dressing around the IV site weekly.
Change the IV tubing for TPN solution every 72 hr.
Discard remaining TPN solution that is still infusing after 24 hr.
The Correct Answer is D
Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.
Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.
Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.
Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Limiting protein intake is important for individuals with chronic kidney disease to reduce the workload on the kidneys and minimize the accumulation of waste products in the blood. High protein intake can accelerate the progression of kidney damage.
B. Increasing phosphorus intake is not recommended for individuals with chronic kidney disease, as impaired kidney function can lead to elevated phosphorus levels in the blood, which can contribute to complications such as bone disease and cardiovascular issues.
C. Increasing potassium intake is typically not advised for individuals with chronic kidney disease, especially if they have elevated potassium levels (hyperkalemia), as this can further stress the kidneys and increase the risk of cardiac arrhythmias.
D. Limiting calcium intake may be necessary for individuals with certain types of kidney stones, but it is not a general recommendation for all individuals with chronic kidney disease. In fact, calcium is important for bone health, and individuals with chronic kidney disease are at
increased risk of bone mineral disorders.
Correct Answer is B
Explanation
A. Vomiting is not typically associated with hypoglycemia; instead, it can be a symptom of hyperglycemia or other gastrointestinal issues.
B. Blurred vision is a common manifestation of hypoglycemia due to the effects of low blood sugar on the function of the eyes.
C. Kussmaul respirations are deep and rapid breathing patterns typically seen in diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
D. Bradycardia (slow heart rate) is not a typical manifestation of hypoglycemia; instead, tachycardia (rapid heart rate) is more commonly observed as a compensatory response to low blood sugar.
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