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 C

Explanation

A: Cooking in a stainless steel skillet does not increase the amount of iron in food. Iron skillets are known to increase iron content in food, not stainless steel.
B: Drinking iced tea with meals can actually decrease iron absorption. Tea contains tannins, which bind to iron and can inhibit its absorption.
C: Fish and poultry are indeed primary sources of heme iron, which is more easily absorbed by the body than non-heme iron found in plant sources.
D: Drinking orange juice with iron supplements can increase absorption. The vitamin C in orange juice enhances the absorption of iron.

A. "Suck on sugar-free candy until you are able to eat." B. "Eat bananas when you are ready to add food to your diet." C. "Drink a cup of hot tea in the morning." D. "Sip on carbonated beverages."

Correct Answer is B

Explanation

A. Sucking on sugar-free candy may exacerbate diarrhea due to the sugar alcohols or artificial sweeteners commonly found in such candies.
B. Eating bananas can be beneficial because they are rich in potassium, which can help replace electrolytes lost during diarrhea.
C. Drinking hot tea, especially caffeinated varieties, can act as a diuretic and may worsen dehydration.
D. Carbonated beverages can contribute to gas and bloating, which may worsen discomfort in someone experiencing diarrhea.

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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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Correct Answer is B

Explanation

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