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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: The recommended daily fiber intake for adults is generally higher than 12 grams. For a balanced diet, women should consume between 22 and 28 grams of fiber per day, and men should consume between 28 and 34 grams per day, depending on their age.
Choice B: Adding 500 calories per day to the diet is typically advised for weight gain, not weight loss. For weight loss, a caloric deficit is usually required, which can be achieved by consuming fewer calories or increasing physical activity.
Choice C: Continuing the current daily caloric intake would not be beneficial if the client's goal is to change their body mass index, especially if their current intake is maintaining a BMI of 28, which is classified as overweight.
Choice D: Referring the client to a weight-loss support group can provide them with emotional support, motivation, and accountability, which are important factors for long-term weight loss success. Support groups can also offer practical advice and a sense of community, which can enhance the weight loss journey.
Correct Answer is C
Explanation
A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.
C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.
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