Chapter 10: Total Parenteral Nutrition

A nurse is caring for a client who is receiving TPN, but the next bag of solution is not available for administration at this time. Which of the following is an appropriate action by the nurse? A. Administer 20% dextrose in water IV until the next bag is available. B. Slow the infusion rate of the current bag until the solution is available. C. Monitor for hyperglycemia. D. Monitor for hyperosmolar diuresis.

A

A charge nurse is providing information about fat emulsion added to total parenteral nutrition (TPN) to a group of nurses. Which of the following statements by the nurse are appropriate? (Select all that apply.) A. "Concentration of lipid emulsion can be up to 30%." B. "Adding lipid emulsion gives the solution a milky appearance." C. "Check for allergies to soybean oil." D. "Lipid emulsion prevents essential fatty acid deficiency." E. "Lipids provide calories by increasing the osmolality of the PN solution."

A, B, C, D

A nurse is planning care for a client who has a new prescription for peripheral parenteral nutrition (PPN). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Examine trends in weight loss. B. Review prealbumin finding. C. Administer an IV solution of 20% dextrose. D. Add a micron filter to IV tubing. E. Use an IV infusion pump.

A, B, D, E

A charge nurse is teaching a group of nurses about medication compatibility with TPN. Which of the following statements by the nurse is appropriate? A. "Use the Y-port on the TPN IV tubing to administer antibiotics." B. "Regular insulin may be added to the TPN solution." C. "Administer heparin through a port on the TPN tubing." D. "Administer vitamin K IV bolus via a Y-port on the TPN tubing."

B

A nurse is preparing to administer lipid emulsion and notes a layer of fat floating in the IV solution bag. Which of the following is an appropriate action by the nurse? A. Shake the bag to mix the fat. B. Turn the bag upside down one time. C. Return the bag to the pharmacy. D. Administer the bag of solution.

C