The client is NPO and is receiving total parenteral nutrition (TPN) via a peripherally inserted central catheter. Which precautions should the nurse implement? (Select All That Apply)
Monitor intake and output every shift
Place the solution on an IV pump at the prescribed rate
Monitor blood glucose every one (1) hour
Change the IV tubing every seven (7) days
Weigh the client weekly, first thing in the morning
Correct Answer : A,C,D
A. Monitor intake and output every shift: Important for tracking fluid balance and ensuring appropriate hydration and nutritional support.
B. Change the IV tubing every seven (7) days: IV tubing should generally be changed every 24 to 72 hours or as per hospital protocol, not every seven days.
C. Place the solution on an IV pump at the prescribed rate: Ensures accurate administration of TPN and prevents complications associated with over or under-infusion.
D. Monitor blood glucose every one (1) hour: Frequent monitoring is required as TPN can cause fluctuations in blood glucose levels.
E. Weigh the client weekly, first thing in the morning: While weighing the client is important, it is typically done more frequently than weekly to monitor fluid status and nutritional response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 5-hour urine output total of 300 mL: This urine output is low, but it may not immediately indicate a serious issue without additional context. However, monitoring for adequate urine output is important.
B. Serum potassium level of 3.0 mEq/L: This is the correct choice. A serum potassium level of 3.0 mEq/L indicates hypokalemia, a serious side effect of furosemide, which can lead to cardiac arrhythmias and requires immediate intervention.
C. Current blood pressure of 141/80 mm Hg: Although the blood pressure is still elevated, it is not as urgent as correcting hypokalemia. The medication’s effectiveness should be monitored, but it is not an immediate concern.
D. Serum glucose level of 135 mg/dL: This level is slightly elevated but not critically high, and it does not require immediate action related to furosemide use.
Correct Answer is D
Explanation
A. Intraosseous line: Intraosseous lines are used for emergency situations when peripheral access is not available, and are not suitable for long-term chemotherapy administration due to the risk of complications and discomfort.
B. Intrathecal catheter: Intrathecal catheters are used for delivering medication directly into the spinal canal. They are not suitable for systemic chemotherapy administration, which requires vascular access.
C. Peripheral intravenous line: Peripheral intravenous lines are typically used for short-term treatments. They are not ideal for long-term chemotherapy because they need frequent replacement, and the veins can become damaged from prolonged use of chemotherapeutic agents.
D. Subcutaneous implantable port: A subcutaneous implantable port is the best option for long-term chemotherapy. It is implanted under the skin, reducing the risk of infection, and provides a stable and reliable access point for repeated treatments over several months.
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