A client is receiving total parenteral nutrition (TPN). What action by the nurse is most important?
a. Assessing blood glucose as directed
b. Changing the IV dressing each day
c. Checking the TPN with another nurse
d. Performing appropriate hand hygiene
ANS: D
Clients on TPN are at high risk for infection. The nurse performs appropriate hand hygiene as a priority intervention. Checking blood glucose is also an important measure, but preventing infection takes priority. The IV dressing is changed every 48 to 72 hours. TPN does not need to be double-checked with another nurse.
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