A child is receiving total parenteral nutrition (TPN; hyperalimentation)
At the end of 8 hours, the nurse observes the solution and notes that 200 mL/8 hr is being infused rather than the ordered amount of 300 mL/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours?
a. 200 mL c. 350 mL
b. 300 mL d. 400 mL
ANS: B
The TPN infusion rate should not be increased or decreased without the practitioner being informed because alterations in rate can cause hyperglycemia or hypoglycemia. The infusion rate should be reset to the prescribed flow rate.
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