A patient is being weaned from parenteral nutrition. Which intervention would support the weaning process?
1. Discontinue parenteral nutrition and begin enteral nutrition.
2. Reduce the rate according to protocol.
3. Discontinue the nutrition and provide regular meals.
4. Discontinue parenteral nutrition and begin peripheral nutrition with dextrose 20%.
2
Rationale 1: Parenteral nutrition should not be discontinued without assessing the patient's tolerance for a diet or enteral nutrition.
Rationale 2: Weaning should be conducted according to the organization's protocol. A patient can be weaned from parenteral nutrition by either reducing the amount administered per hour or by substituting with a high-dextrose solution administered peripherally.
Rationale 3: Parenteral nutrition should not be discontinued without assessing the patient's tolerance for a diet or enteral nutrition.
Rationale 4: Solutions higher than 10% dextrose are hypertonic and cannot be administered peripherally.
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