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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","F"]
Explanation
A. Orange juice: Orange juice is a good source of vitamin C and can contribute to overall nutritional intake. However, it is not specifically indicated based on the laboratory results provided.
B. Carrots: Carrots are rich in beta-carotene, which is a precursor to vitamin A. While they are generally nutritious, they are not specifically indicated based on the laboratory results provided.
C. Almonds: Almonds are a good source of magnesium, which can help if the client is experiencing a deficiency, as indicated by the slightly low magnesium level in the laboratory results.
D. Eggs: Eggs, particularly the yolks, also contain this essential nutrient. Including these foods in the client's diet can help improve their vitamin D levels and overall health.
E. Brussels sprouts: Brussels sprouts are a good source of vitamin C and other nutrients, but they are not specifically indicated based on the laboratory results provided.
F. Salmon: Salmon is a good source of vitamin D, which can help address a deficiency if present, as indicated by the low level of total 25-hydroxy D in the laboratory results.
Correct Answer is D
Explanation
A. Iron deficiency can lead to impaired immune function and may increase the risk of infections, but it is not typically characterized by an increased risk of infection.
B. Iron deficiency can cause fatigue and weakness, which may result in increased sleeping time rather than decreased sleeping time.
C. Iron deficiency does not typically cause an elevated temperature. Elevated temperature may be a sign of infection or other underlying medical conditions.
D. Lowered intellectual performance, including impaired cognitive function and difficulties with learning and memory, can occur as a result of iron deficiency anemia. Iron is essential for the proper functioning of the brain and nervous system, and inadequate iron intake can lead to cognitive deficits, especially in children.
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