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.
Administer the PN and fat emulsion separately.
Prepare the client for a central venous line.
Obtain a random blood glucose daily.
The Correct Answer is C
Rationale: Parenteral nutrition (PN) is a method of providing essential nutrients to the body through a central vein. PN is indicated for clients who cannot take oral or enteral nutrition due to intestinal failure or other conditions. PN requires a central venous line because the solution is hypertonic and can cause thrombophlebitis or damage to peripheral veins. A central venous line also allows for better monitoring of fluid balance and electrolyte levels.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Cleanse hands with an alcohol-based hand rub before client contact. This action reduces the risk of transmitting microorganisms to the client who has a weakened immune system.
Correct Answer is D
Explanation
Health promotion is the process of enabling people to increase control over their health and its determinants, and thereby improve their health. Health promotion guidelines are recommendations that help people prevent diseases and maintain optimal health status. One of the guidelines that the nurse should include in the teaching for young adult male clients is to have a dental examination every 6 months, as this can help prevent oral diseases and detect any problems early.
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