The nurse is caring for a client receiving total parenteral nutrition (TPN). Which does the nurse implement? (Select all that apply.)
1. Adds medication to the solution
2. Inserts in-line IV filter to tubing
3. Hangs 10% dextrose for diarrhea
4. Inspects solution for stratification
5. Changes the tubing every 24 hours
6. Obtains blood glucose every 6 hours
2, 4, 5, 6
2. The nurse uses an in-line IV tubing filter as outlined in agency policy to prevent particulate matter from entering the client's vascular space.
4. The nurse inspects the solution before hanging it to ensure its clarity.
5. The TPN tubing is changed every 24 hours to maintain infection control by reduc-ing the microorganism count of the tubing.
6. The nurse checks the client's blood glucose every 6 hours and as necessary because the TPN solution is composed of a hypertonic dextrose solution and frequently causes hyperglycemia in nondiabetic clients.
1. The nurse avoids adding medication to TPN solution except on rare occasions.
3. The nurse hangs 10% dextrose if the next container of TPN is unavailable; howev-er, this is performed as infrequently as possible.
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