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 A

Explanation

A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.

A. Sip fluids slowly throughout the day. B. Sit up for 1 hr after eating meals. C. Consume foods that are served cold. D. Eat foods low in carbohydrates. E. Limit use of antiemetics until after first emesis.

Correct Answer is ["A","B","C"]

Explanation

A. Sipping fluids slowly can help prevent dehydration and may help alleviate nausea.
B. Sitting up for 1 hour after eating meals can help prevent reflux and reduce the likelihood of nausea.
C. Cold foods may be better tolerated by individuals experiencing nausea.
D. There is no specific evidence to suggest that eating foods low in carbohydrates helps with chemotherapy-induced nausea.
E. Antiemetics should be taken as prescribed, and delaying their use until after experiencing vomiting may lead to inadequate control of nausea and vomiting. It's important for the client to follow the healthcare provider's instructions regarding the use of antiemetics.

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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 providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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