The nurse receives a bag of total parenteral nutrition (TPN) for the client. Prior to hanging the solution, which nursing actions are priorities?
Select all that apply.
1. Checking the expiration date
2. Creating a sterile field
3. Checking the nutrients in the bag against the order written by the primary care provider with another licensed nurse
4. Adding additional medications to the fluid
5. Applying a timing tape to the solution container
Correct Answer: 1,3,5
The nurse should check the expiration date because the solution is high in sugar, providing an ideal location for pathogen growth. Outdated solutions should never be administered. The primary care provider's order should be checked against the contents of the solution with another nurse to ensure the proper mixture is prepared and administered. A timing tape should be applied to the solution to ensure that the fluid is infused at the proper rate, because it is high in glucose and could induce hyperglycemia if infused too quickly. There is no need to create a sterile field until the fluid is checked for accuracy and the bag prepared. Nurses do not add medications or anything to the prepared TPN, because it must be mixed under sterile technique with a laminar air flow device to prevent introduction of pathogens.
You might also like to view...
The development of immunity to the chickenpox virus after having the disease is an example of which kind of immunity?
a. Passive b. Artificial c. Natural d. Antigen
The client has peripheral vascular disease and nurse performs a dressing change to the client's lower extremity. Which does the nurse implement to secure the dressing in place?
1. Uses a circular wrap of transparent film 2. Wraps dressing with a light mesh covering 3. Applies wrap in proximal to distal direction 4. Asks client to elevate legs in supine position
The client is to receive 750 mg of a medication. The pharmacy sent 500-mg scored tablets. How many tablets does the nurse administer?
1. tablet 2. 1 tablet 3. 2 tablets 4. tablets
Before conducting any study with human subjects, the nurse researcher must obtain informed consent. What must the nurse researcher ensure to obtain informed consent? (Select all that apply.)
a. Gives complete information about the purpose b. Allows free choice to participate or withdraw c. Understands how confidentiality is maintained d. Identifies risks and benefits of participation e. Ensures that subjects complete the study