The nurse is caring for a child who is receiving total parenteral nutrition (TPN) for failure to thrive. Which nursing action might the nurse take to prevent complications from this therapy?
A) Adhere to clean technique when caring for the catheter and administering TPN.
B) Ensure that the system remains an open system at all times.
C) Secure all connections and open the catheter during tubing and cap changes.
D) Use occlusive dressings and chlorhexidine-impregnated sponge dressings.
Ans: D
The nurse should use occlusive dressings and chlorhexidine-impregnated sponge dressings to help prevent infection. The nurse should always follow agency or institution policy and procedures, adhere to strict aseptic technique when caring for the catheter and administering TPN, ensure that the system remains a closed system at all times, and secure all connections and clamp the catheter or have the child perform the Valsalva maneuver during tubing and cap changes.
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