A nurse is caring for a client with pancreatic disease. The client is receiving total parenteral nutrition (TPN) to help maintain adequate levels of carbohydrates, proteins, fats, vitamins, minerals, water, and electrolytes
Which of the following measures should the nurse follow when providing TPN? A) Perform insertion of a central line under aseptic conditions.
B) Check the client's vital signs for evidence of developing infection.
C) Avoid folding the tape over when securing the catheter.
D) Measure the blood glucose level at the end of the day.
B
Feedback:
The nurse should check the client's vital signs frequently for evidence of developing infection. The nurse should stop the infusion and report immediately if the client develops signs of infiltration, such as redness, swelling, and pain. Only physicians should insert a central line under aseptic conditions because insertion of a catheter into the subclavian vein requires great skill owing to the vein's proximity to the lung. When securing the catheter at the insertion site, the end of each piece of the tape is folded over. This facilitates easy removal of the tape when changing the dressing frequently. Because TPN solutions contain a high concentration of glucose, the client's blood glucose level is measured several times a day, and not only at the end of the day.
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