A nurse is planning care for a client who is to start receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include in the plan of care?
Change the TPN tubing every 48 hr
Allow 18 hr for the lipids to infuse when not mixed with the TPN solution.
Use a 1.2 micron filter when infusing TPN with fat emulsions added.
Change the TPN solution after 36 hr.
The Correct Answer is C
Rationale:
A. The tubing for TPN must be changed every 24 hr (not 48 hr) to reduce the risk of central line–associated bloodstream infection (CLABSI).
B. Lipid emulsions should not hang for more than 12 hr to prevent bacterial growth and infection.
C. A 1.2-micron filter is required for TPN that contains lipids to remove particulate matter, bacteria, and fungi, since lipid solutions cannot pass through smaller filters.
D. TPN solutions should be changed every 24 hr (not 36 hr) to reduce infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Hepatotoxic medications can cause toxic or drug-induced liver injury, but they are not the primary cause of biliary cirrhosis.
B. Excessive alcohol consumption is a major cause of alcoholic cirrhosis, not biliary cirrhosis.
C. Obstruction of the bile duct—whether from gallstones, strictures, or autoimmune disorders—leads to cholestasis. Over time, the retained bile damages liver cells, causing inflammation, fibrosis, and ultimately biliary cirrhosis.
D. Hepatitis C primarily causes viral hepatitis-related cirrhosis, not biliary cirrhosis.
Correct Answer is B
Explanation
Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.
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.