A patient is receiving parenteral nutrition (PN). While caring for the patient receiving PN what is the nurse's best action?

Question

a. Begin the infusion at 150 mL/hour.
b. Maintain a consistent infusion rate.
c. Touch the insertion site itself with a clean-gloved hand.
d. Monitor the laboratory values on a weekly basis.

Answer 1

B
The solution is provided at a specified rate using an infusion pump over the course of the day to meet the patient's nutritional needs. Parenteral nutrition is usually started at a lower rate, for example, 40 to 60 mL/hour, and then advanced to meet the patient's goal rate as tolerance is demonstrated. If the site itself must be touched, wear a sterile glove, not a clean glove. Frequent laboratory measurements for metabolic or electrolyte abnormalities as well as assessment of fluid balance, weight trend, and the ability to heal should occur during administration. Laboratory monitoring includes frequent blood glucose testing because the high dextrose (glucose) content of the solution can easily lead to hyperglycemia and require supplemental insulin as needed. Monitoring laboratory values on a weekly basis is too long and could lead to complications.