A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?
Change the IV tubing for TPN solution every 72 hr.
Remove TPN from the refrigerator 5 min before infusing it.
Discard remaining TPN solution that is still infusing after 24 hr.
Change the dressing around the IV site weekly.
The Correct Answer is C
The nurse should plan to change the IV tubing for the TPN solution every 72 hours. This is necessary to maintain the sterility of the system and minimize the risk of infection. TPN solutions are prone to bacterial growth, and changing the tubing regularly helps prevent contamination.
Removing TPN from the refrigerator 5 minutes before infusing it is not necessary. TPN solutions are typically stored in the refrigerator to maintain their stability and prevent spoilage. It should be brought to room temperature over a longer period of time, usually 30-60 minutes, before administration.
Discarding the remaining TPN solution that is still infusing after 24 hours is unnecessary. TPN solutions can typically be infused for up to 24 hours without compromising their safety and efficacy. However, it is important to monitor the solution closely for any signs of contamination or degradation, and if any concerns arise, the nurse should consult with the healthcare provider.
Changing the dressing around the IV site weekly is not specific to TPN administration. Dressing changes for peripheral IV sites are typically performed according to facility protocols and the condition of the site, but they are not necessarily done on a weekly basis. The frequency of dressing changes depends on factors such as the type of dressing used, the patient's condition, and any signs of infection or dislodgement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Throat cancer and radiation therapy can cause various side effects, including nausea, stomatitis (inflammation of the mouth), and weight loss. In this situation, it is important to focus on nutritional support and addressing the client's symptoms.
Selecting foods high in protein is recommended for this client. Protein is essential for tissue repair and maintaining muscle mass, which is crucial for recovery and preventing further weight loss. Foods high in protein include lean meats, poultry, fish, dairy products, eggs, legumes, and tofu. The nurse can work with a registered dietitian to develop a meal plan that incorporates protein-rich foods while considering the client's preferences and any specific dietary restrictions.
Regarding the other options:
● Increase intake of liquids at mealtime: While it is important for the client to maintain hydration, increasing liquid intake at mealtime may contribute to a feeling of fullness and exacerbate nausea. It is generally recommended to consume liquids between meals rather than with meals.
● Serve foods hot: Serving foods hot may not directly address the client's symptoms. The temperature of the food is unlikely to alleviate nausea, stomatitis, or weight loss.
● Consume foods high in fat content: Foods high in fat content may be difficult to tolerate for a client experiencing nausea and stomatitis. Additionally, focusing on increasing protein intake is generally a higher priority than increasing fat intake for a client experiencing weight loss
Correct Answer is A
Explanation
According to some sources, behavioral modifications for weight loss include:
● Keeping a food journal to track your intake and identify patterns
● Eating smaller portions and using smaller plates
● Filling half of your plate with fruits and vegetables
● Getting plenty of sleep and drinking fluids
● Eating slowly and consciously
● Eating breakfast every day
● Avoiding high-calorie add-ons such as cream, butter, mayonnaise and salad dressings
● Not eating while watching television, reading, working or doing other activities
● Planning healthy snacks and meals in advance and bringing them to work
● Replacing eating with another activity that you will not associate with food
Based on these suggestions, the statement that the nurse should include in the teaching is “Make sure to drink water with your meals.” This can help you feel full and hydrated, and reduce your calorie intake from other beverages.
The other statements are either false or not related to behavioral modifications. For example:
● Your biggest meal of the day should be breakfast. This is not a behavioral modification, but a dietary recommendation that may vary depending on your preferences and needs.
● Meal replacement shakes can cause weight gain. This is not a behavioral modification, but a claim that is not supported by evidence. Meal replacement shakes can be part of a weight loss plan if they are used appropriately and provide adequate nutrition.
● Set your weight loss goal to 2.5 pounds per week. This is not a behavioral modification, but a goal that may be unrealistic or unhealthy for some people. A more reasonable goal is to lose 1 to 2 pounds per week.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.