A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions.
Which of the following is an appropriate action to include in the plan of care?
Change the PN infusion bag every 48 hr.
Prepare the client for a central venous line.
Obtain random blood glucose daily.
Administer the PN and fat emulsion separately.
The Correct Answer is B
Prepare the client for a central venous line.
Parenteral nutrition (PN) with 20% dextrose and fat emulsions is a hypertonic solution that requires infusion through a central venous line to prevent damage to peripheral veins.
Choice A is wrong because the PN infusion bag should be changed every 24 hours, not every 48 hours.
Choice C is wrong because blood glucose should be monitored more frequently than once daily when initiating PN therapy.
Choice D is wrong because PN and fat emulsions can be administered together in a total nutrient admixture (TNA)1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This statement indicates that the client understands the importance of gradually adjusting to wearing a hearing aid.
It can take time for the brain to adapt to new sounds and volume levels, so it’s important to increase usage gradually.
Choice A is wrong because turning the hearing aid up as high as it will go can cause discomfort and may not improve hearing.
Choice B is wrong because hearing aids typically last several years with proper care and maintenance.
Choice C is wrong because it’s important to remove the battery from the hearing aid when not in use to preserve battery life.
Correct Answer is D
Explanation
In general, parental (or legal guardian) consent is required for any diagnostic or surgical procedure performed on a child under the age of 181.
Choice A is wrong because the mother’s 21-year-old sibling is not a parent or legal guardian of the infant.
Choice B is wrong because the infant’s provider cannot sign the consent form on behalf of the infant.
Choice C is wrong because the infant’s grandparent cannot sign the consent form unless they are a legal guardian of the infant.
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