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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Non-steroidal anti-inflammatory drugs: These typically cause gastrointestinal upset and potential bleeding but are less likely to cause respiratory depression, constipation, or hypotension.
B. Cyclooxygenase-2 inhibitors: These are a subset of NSAIDs with fewer gastrointestinal side effects but do not generally cause respiratory depression or hypotension.
C. Opioid analgesics: This is the correct choice. Opioid analgesics are known to cause respiratory depression, constipation, nausea, vomiting, and hypotension.
D. Non-opioid pain medications: These include medications like acetaminophen and NSAIDs, which are less likely to cause respiratory depression or hypotension.

A. Serum glucose of 118 mg/dL B. Blood urea nitrogen (BUN) of 16 mg/dL C. Serum sodium of 130 mEq/L D. Serum potassium of 3.9 mEq/L

Correct Answer is C

Explanation

A. Serum glucose of 118 mg/dL: This value is slightly above the normal range but not critically elevated; it does not typically require immediate notification to the surgeon.
B. Blood urea nitrogen (BUN) of 16 mg/dL: This BUN level is within the normal range and does not suggest an immediate concern for surgical risk.
C. Serum sodium of 130 mEq/L: A serum sodium level of 130 mEq/L indicates hyponatremia, which can lead to serious complications including neurological symptoms and should be addressed prior to surgery.
D. Serum potassium of 3.9 mEq/L: This level is within the normal range and does not require immediate action related to surgery.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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