The nurse is caring for a patient who has been on total parenteral nutrition (TPN) for 48 hours. Which action demonstrates effective nursing care?
a. Checking the patient's blood glucose level according to facility protocol.
b. Increasing the infusion rate if the pre-scribed intake falls behind.
c. Informing the patient that TPN can only be administered via a central line for 1 week.
d. Monitoring the peripheral IV site of TPN infusion for signs of infiltration at least every 8 hours.
A
The hypertonic solution causes difficulty with glucose tolerance, so monitoring of blood glucose level is imperative. The infusion rate should never be increased to "catch up" because of the like-lihood of fluid overload caused by the hypertonicity of the TPN. TPN can be administered for more than 1 week and it is almost always administered via a central line rather than a peripheral line.
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The nurse points out what advantage(s) of a nursery school or preschool experience? (Select all that apply.)
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a. A measuring spoon should be used, and the medication must be given every 6 hours. b. The mother is not able to handle this regimen. Long-acting intramuscular antibiotics should be administered. c. A hollow-handled medication spoon is advisable, and the medication should be equally spaced while the child is awake. d. A household teaspoon should be used and the medicine given when the child wakes up, around lunch time, at dinner time, and before bed.
In the figure below, the nurse is performing the assessment technique called:
1. Direct percussion 2. Indirect percussion 3. Light palpation 4. Deep palpation