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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