A nurse is initiating parenteral nutrition (PN) to a postoperative patient who has developed complications. The nurse should initiate therapy by performing which of the following actions?
A) Starting with a rapid infusion rate to meet the patient's nutritional needs as quickly as possible
B) Initiating the infusion slowly and monitoring the patient's fluid and glucose tolerance
C) Changing the rate of administration every 2 hours based on serum electrolyte values
D) Increasing the rate of infusion at mealtimes to mimic the circadian rhythm of the body
Ans: B
Feedback:
PN solutions are initiated slowly and advanced gradually each day to the desired rate as the patient's fluid and glucose tolerance permits. The formulation of the PN solutions is calculated carefully each day to meet the complete nutritional needs of the individual patient based on clinical findings and laboratory data. It is not infused more quickly at mealtimes.
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