The nurse is planning care for a client who receives total parenteral nutrition. What will the best plan by the nurse include?
1. Check the feeding tube for residual prior to initiating feedings.
2. Remove the solution from the refrigerator 30 minutes prior to hanging.
3. Withhold oral medications while the total parenteral nutrition (TPN) is hanging.
4. Maintain a dedicated percutaneous endoscopic gastrostomy (PEG) tube for the solution.
2
Rationale 1: Checking the tube for residual is done with enteral feedings, not parenteral feedings.
Rationale 2: A cold infusion could cause irritation to the intravenous (IV) site.
Rationale 3: The client can continue to receive oral medications while total parenteral nutrition (TPN) is infusing.
Rationale 4: Parenteral infusions are done through an intravenous (IV) line, not a percutaneous endoscopic gastrostomy (PEG) tube.
Global Rationale: A cold infusion could cause irritation to the intravenous (IV) site. Checking the tube for residual is done with enteral feedings, not parenteral feedings. The client can continue to receive oral medications while total parenteral nutrition (TPN) is infusing. Parenteral infusions are done through an intravenous (IV) line, not a percutaneous endoscopic gastrostomy (PEG) tube.
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