The nurse caring for a client receiving parenteral nutrition via ...

[rosent76]

The nurse caring for a client receiving parenteral nutrition via a central venous catheter determines that the client's temperature is elevated, white blood cell count is elevated, and the client is lethargic.
 
  The nurse suspects the client is septic. Which actions by the nurse are appropriate in this situation?
 
  Select all that apply.
  1. Replacing the parenteral nutrition with a normal saline solution
  2. Changing the IV tubing
  3. Saving the remaining TPN
  4. Recording the lot number of the TPN
  5. Notifying the health care provider.

Question 2

The nurse is caring for a client who is to have a peripherally inserted central catheter (PICC) line inserted tomorrow afternoon. The client's peripheral access line is infiltrated, and needs to be restarted.
 
  Which site would the nurse avoid using?
  1. Median cubital vein
  2. Cephalic vein
  3. Radial vein
  4. Dorsal metacarpal veins

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Answer to Question 1

Correct Answer: 2,3,4,5

The fluid should be replaced with a 5 or 10 dextrose solution, not normal saline, because the client has adjusted to a high sugar intake via the TPN, and eliminating all sugar infused could result in hypoglycemia. The other actions are correct.

Answer to Question 2

Correct Answer: 1

[rosent76]

Excellent

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