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 D
Explanation
A. Lettuce is not known for being high in potassium; it is mostly water and fiber.
B. Grapes contain potassium, but not as much as some other fruits and vegetables.
C. Apple slices do contain potassium, but they are not the richest source among the options provided.
D. Cooked tomatoes are an excellent source of potassium, with one cup providing a significant amount of the mineral necessary to help correct hypokalemia.
Correct Answer is ["A","C","E"]
Explanation
A. Olive oil and vinegar are healthier choices for salad dressing, especially for individuals with hypertension, as they are low in saturated fat and sodium.
B. This choice is incorrect because low-calorie does not necessarily mean low in sodium, which is crucial for managing hypertension.
C. Limiting processed cheese is advised because it often contains high levels of sodium, which can raise blood pressure.
D. This choice is incorrect as many frozen dinners are high in sodium and preservatives, which are not recommended for a hypertension-friendly diet.
E. Cooking pasta without salt is a good practice to reduce sodium intake, which is beneficial for blood pressure control.
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