A nurse is caring for a client who is receiving continuous total parenteral nutrition (TPN) via a multilumen central venous catheter. Which of the following actions should the nurse include in the client's plan of care? Select all that apply.
- Dedicate one specific lumen of the central venous catheter exclusively for the total parenteral nutrition infusionCevap
- Assess the client's capillary blood glucose levels every 4 to 6 hoursCevap
- Replace the total parenteral nutrition solution bag and intravenous administration set every 24 hoursCevap
- DTemporarily pause the continuous infusion to administer an incompatible intravenous antibiotic through the same lumen
- EIncrease the infusion pump rate to catch up if the administered volume is behind the prescribed schedule
- FDraw scheduled laboratory blood samples from the specific lumen that is currently infusing the total parenteral nutrition
Cevap
The correct actions are to dedicate a specific central line lumen exclusively for TPN, monitor capillary blood glucose every 4 to 6 hours, and change the TPN bag and intravenous tubing every 24 hours.
Total parenteral nutrition requires strict adherence to safety protocols due to its high osmolarity and nutrient density. It must be administered through a dedicated central line lumen to prevent drug incompatibilities. Because of the high dextrose concentration, capillary blood glucose levels should be monitored every 4 to 6 hours to detect hyperglycemia. Furthermore, to minimize the risk of severe bloodstream infections, the TPN solution and the intravenous administration set must be changed every 24 hours.
Adım Adım Çözüm
Anahtar Kavram
Total Parenteral Nutrition (TPN) Administration and Safety Principles