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.

Answer and Explanation

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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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.

A. Wipe dentures before storing them in a dry container at night. B. Wrap gloved fingers with gauze to remove dentures. C. Floss dentures as part of daily cleaning. D. Use a washcloth to clean the denture surfaces.

Correct Answer is B

Explanation

A. Dentures should be stored in a container with water or a denture-cleaning solution to prevent drying and warping, not in a dry container.
B. Wrapping gloved fingers with gauze provides a better grip when removing dentures, reducing the risk of dropping them and ensuring a safe and hygienic removal process.
C. Flossing is not necessary for dentures, as they do not have natural tooth structures requiring interdental cleaning. Instead, dentures should be brushed with a soft-bristled brush.
D. A soft-bristled toothbrush, not a washcloth, should be used to clean dentures to effectively remove plaque and food debris.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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