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A nurse is teaching a client who has a new prescription for total parenteral nutrition through a central line. Which of the following information should the nurse include in the teaching?

A.

"I will change your IV tubing once every 48 hours."

B.

"Abdominal distention is an expected effect of this therapy."

C.

"I will need to check your gastric residual before administering feedings."

D.

"I will need to measure your weight daily."

Answer and Explanation

The Correct Answer is D

Parental Nutrition

- A is incorrect because IV tubing for total parenteral nutrition should be changed every 24 hours to prevent infection. 

- B is incorrect because abdominal distention is not an expected effect of total parenteral nutrition. It could indicate a complication such as fluid overload or bowel obstruction. 

- C is incorrect because gastric residual is not relevant for total parenteral nutrition, which bypasses the gastrointestinal tract. 

- D is correct because weight measurement is an important indicator of fluid balance and nutritional status for clients receiving total parenteral nutrition. 
 


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Related Questions

Correct Answer is A

Explanation

Choice A rationale:

Preschoolers with celiac disease need to avoid gluten-containing grains such as wheat, barley, and rye. Corn tortilla with black beans is a suitable option as it does not contain gluten and provides essential nutrients.

Choice B rationale:

Whole wheat pasta contains gluten, which should be avoided by individuals with celiac disease. This option is inappropriate for the preschooler with celiac disease.

Choice C rationale:

Low sodium vegetable soup with barley contains gluten, which is not suitable for a child with celiac disease. Barley is a gluten-containing grain and should be avoided.

Choice D rationale:

Rye bread contains gluten and is not appropriate for a preschooler with celiac disease. This option is not suitable for the child's dietary needs.

Correct Answer is D

Explanation

A. The nurse places the client on airborne precautions: This is appropriate, as measles is transmitted via airborne particles. B. The nurse has the client wear a mask for transport to radiology: This is correct. A surgical mask minimizes the risk of spreading airborne pathogens during transport. C. The nurse wears an N95 respirator when performing client care: Correct. An N95 respirator is necessary for protection against airborne diseases like measles. D. The nurse ensures the client's room maintains a positive airflow: This is incorrect and requires intervention. Clients with airborne infections like measles must be placed in negative pressure rooms, which prevent contaminated air from escaping into other areas. Positive airflow increases the risk of transmission to others.

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