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 B
Explanation
A. A low-carbohydrate diet may not provide the necessary energy and nutrients required for optimal wound healing. Carbohydrates are important for providing energy for cellular processes involved in tissue repair and regeneration.
B. A high-nutrient diet, rich in vitamins, minerals, proteins, and healthy fats, is essential for promoting wound healing. Adequate intake of nutrients such as vitamin C, vitamin A, zinc, and protein is particularly important for supporting collagen synthesis, immune function, and tissue repair.
C. A high-cholesterol diet is not specifically indicated for promoting wound healing and may be associated with other health risks such as cardiovascular disease.
D. While excessive sodium intake can contribute to fluid retention and edema, a low-sodium diet is not specifically indicated for promoting wound healing unless the client has conditions such as congestive heart failure or hypertension where sodium restriction is necessary to manage fluid balance.
Correct Answer is A
Explanation
A. A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B. Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C. Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D. Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.
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