For the client who is receiving parenteral nutrition via a central venous catheter, the nurse recog-nizes that a priority is to:
1. Use sterile technique during the administration of the feedings
2. Maintain the initial infusion rate at no more than 40 to 60 mL/hr
3. Complete the administration of the feeding within 12 hours
4. Have radiographic confirmation of the placement of the catheter
ANS: 4
After catheter placement, the catheter is flushed with saline or heparin until the position is radio-graphically confirmed. Aseptic technique, not sterile technique, is used during the administration of feedings. An initial rate of 40 to 60 mL/hr is recommended, and the rate is gradually in-creased. The rate of administration is not the priority. The nurse must first confirm correct place-ment of the catheter. A single container of PN should hang no longer than 24 hours; lipids no more than 12 hours. The nurse must first confirm correct placement of the catheter before any infusion is begun.
You might also like to view...
A client who has had acute tonsillitis develops drooling and reports severe throat pain. What is the nurse's priority intervention?
a. Assess the throat for deviation of the uvu-la. b. Prepare the client for surgery. c. Teach the client about antibiotic therapy. d. Prepare the client for percutaneous needle aspiration.
You are beginning the examination of a patient. All of the following areas are important to observe as part of the General Survey except:
A) Level of consciousness B) Signs of distress C) Dress, grooming, and personal hygiene D) Blood pressure
When describing programs for breast cancer screening, the nurse include breast self-examination (BSE). Which of the following most accurately reflects the current thinking about breast self-examination?
A) BSE is essential for early breast cancer detection. B) A woman performing BSE has breast awareness. C) BSE plays a minimal role in detecting breast cancer D) A clinical breast exam has replaced BSE.
A diabetic patient is recovering from a myocardial infarction but does not have symptoms of heart failure. The nurse will expect to teach this patient about:
a. ACE inhibitors and beta blockers. b. biventricular pacemakers. c. dietary supplements and exercise. d. diuretics and digoxin.