A client is receiving total parenteral nutrition (TPN) via a subclavian central line, and the solution bag is nearly empty. The next bag of TPN is not available from the pharmacy. Which action should the nurse implement until the fluid arrives?

Slow the infusion rate and catch up the rate when the next TPN solution arrives.

Flush the central line with a heparin solution and cap the subclavian access.

Start 1,000 mL of 0.9% sodium chloride and monitor the serum glucose levels.

Follow the TPN with a 10% dextrose solution at the current rate of infusion.

Answer and Explanation

The Correct Answer is C

A. Slow the infusion rate and catch up the rate when the next TPN solution arrives. Slowing the

infusion rate may not provide adequate nutrition to the client, and catching up the rate later could lead to complications such as hyperglycemia or hypoglycemia.
B.   Flush the central line with a heparin solution and cap the subclavian access. Flushing the central line with heparin and capping the access would not provide the client with nutrition and could increase the risk of line occlusion.

C.   Start 1,000 mL of 0.9% sodium chloride and monitor the serum glucose levels. Starting 0.9% sodium chloride (normal saline) provides hydration and helps maintain electrolyte balance until the next bag of TPN is available. Monitoring serum glucose levels is essential to ensure that the client's glucose levels remain within the target range.
D.   Follow the TPN with a 10% dextrose solution at the current rate of infusion. Administering a 10% dextrose solution could lead to hyperglycemia, especially if the client does not require additional glucose. It is important to maintain appropriate glucose levels while awaiting the next bag of TPN.

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Correct Answer is C

Explanation

A. Cheese products. Vegans do not consume any animal products, including dairy, so cheese products are not suitable for a vegan diet.
B. Egg white products. Vegans avoid all animal-derived foods, including eggs, so egg white products are also not suitable.
C. Soybean products. Soybeans are a versatile plant-based protein source that can be used in various forms such as tofu, tempeh, and edamame. These products are essential in a vegan diet as they provide a good source of protein and other nutrients that might otherwise be lacking.
D. Shellfish products. Vegans do not consume any animal products, including shellfish, making this option inappropriate for a vegan diet.

A. Bread. B. Beef broth. C. Ice cream. D. Ketchup.

Correct Answer is C

Explanation

A. Bread. Plain bread is typically well-tolerated for individuals with cholelithiasis, as it is low in fat.
B. Beef broth. Beef broth is low in fat and should be well-tolerated for someone with cholelithiasis.

C. Ice cream. Ice cream is high in fat and may exacerbate symptoms of cholelithiasis by triggering gallbladder contractions.
D. Ketchup. Ketchup is low in fat and should not pose a significant risk for someone with cholelithiasis.

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A client is receiving total parenteral nutrition (TPN) via a subclavian central line, and the solution bag is nearly empty. The next bag of TPN is not available from the pharmacy. Which action should the nurse implement until the fluid arrives?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning a nutrition class for vegans. Which food should the nurse encourage to be combined with other foods to enhance the nutritional intake in the vegan diet?

Correct Answer is C

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Correct Answer is C

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