In order to continue enjoying our site, we ask that you confirm your identity as a human. Thank you very much for your cooperation. 20.A client is receiving total parenteral nutrition (TPN). What action by the nurse is mostimportant?a.Assessing blood glucose as directedb.Changing the IV dressing each dayc.Checking the TPN with another nursed.Performing appropriate hand hygieneANS:DClients on TPN are at high risk for infection. The nurse performs appropriate hand hygieneas a priority intervention. Checking blood glucose is also an important measure, butpreventing infection takes priority. The IV dressing is changed every 48 to 72 hours. TPNdoes not need to be double-checked with another nurse.
Total Parenteral Nutrition or (TPN feeding)is a method of administration of essential nutrients to the body through a central vein. TPN therapy is indicated to a client with a weight loss of 10% the ideal weight, an inability to take oral food or fluids within 7 days post surgery, and hypercatabolic situations such as major infection with fever. TPN solutions requires water (30 to 40 mL/kg/day), energy (30 to 45 kcal/kg/day, depending on energy expenditure), amino acids (1.0 to 2.0 g/kg/day, depending on the degree of catabolism), essential fatty acids, electrolytes, vitamins, minerals, and trace elements. These solutions can be adjusted, depending on the presence of organ system impairment or the specific nutritional needs of the client. TPN is usually used in hospital, subacute and long-term care, but it is also used in the home care settings. Nursing Care PlansThe major goals for the patient undergoing total parental nutrition may include improvement of nutritional status, maintaining fluid balance, and absence of complications. Here are four (4) total parenteral nutrition nursing care plans (NCP) and nursing diagnosis:
May be related to
Possibly evidenced by
Desired Outcomes
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