The IV team nurse is placing a peripheral intravenous line for administration of peripheral parenteral nutrition (PPN). The nurse reviews the orders and prepares to administer the PPN
Upon checking the solution against the orders, the nurse is aware that it is safest to administer a dextrose concentration no greater than 10% because dextrose concentrations greater than 10%:
A) Cause a chemical phlebitis
B) Are poorly absorbed by the body
C) Are incompatible with lipid solutions
D) Limit the length of therapy to 2 weeks
Ans: A
Feedback: When administering PPN, dextrose concentrations of more than 10% should not be administered through peripheral veins because they irritate the intima of small veins, causing chemical phlebitis. Lipids are administered simultaneously to better the PPN and to protect the peripheral vein from irritation. The usual length of therapy using PPN is 5 to 7 days.
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When planning nursing care for the older adult, the nurse knows the appropriate needs for this age group are
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Passive-aggressive behavior is demonstrated by the nurse who:
1. gossips about other people. 2. constantly complains during shift report. 3. complains to everyone except the right person. 4. all of the above.
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