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?

Remove TPN from the refrigerator 5 min before infusing it.

Change the dressing around the IV site weekly.

Change the IV tubing for TPN solution every 72 hr.

Discard remaining TPN solution that is still infusing after 24 hr.

Answer and Explanation

The Correct Answer is D

Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.

Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.

Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.

Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.

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Correct Answer is D

Explanation

A. TPN typically contains glucose as a source of energy. While it can help maintain glucose levels, this is not the primary reason for its use in clients with acute kidney injury.
B. TPN is not primarily used to address excessive calorie burning. It is used when a client is unable to meet their nutritional needs orally or enterally.
C. While TPN may have varying proportions of macronutrients depending on the individual's nutritional needs, the primary reason for its use in acute kidney injury is to provide nutrition when the gastrointestinal tract cannot be used.

D. TPN bypasses the gastrointestinal tract, delivering nutrients directly into the bloodstream.
This is necessary in acute kidney injury when the client may not be able to tolerate enteral feeding or when there are specific dietary restrictions.

A. Magnesium B. Vitamin C C. Vitamin D D. Folic acid

Correct Answer is C

Explanation

A. While it is possible for individuals following a vegan diet to be deficient in magnesium if they do not consume enough plant-based sources, deficiencies in vitamin D are more common due to limited dietary sources and reduced exposure to sunlight.
B. Vitamin C deficiency is rare in individuals following a vegan diet, as many fruits and vegetables are good sources of this nutrient.
C. Vitamin D deficiency is common in individuals following a vegan diet, as the primary dietary sources of vitamin D are animal products such as fatty fish, eggs, and fortified dairy products. Vegans may need to rely on fortified foods or supplements to meet their vitamin D needs.
D. Folic acid deficiency is not typically associated specifically with a vegan diet. However, individuals following any type of restrictive diet should ensure they are consuming adequate amounts of folate-rich foods or consider supplementation if necessary.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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