Total parenteral nutrition (TPN) has been ordered for a patient who is recovering from burns in the intensive care unit. The patient currently has a peripheral intravenous (IV) line as well as a central venous catheter.
The nurse should reiterate in the patient's care plan the importance of administering TPN in a central line because:
A) Central lines are more durable than peripheral IV lines.
B) Infiltration of a peripheral IV that is being used to deliver TPN can result in tissue necrosis.
C) The high osmolarity of TPN requires administration into a large volume of blood.
D) TPN must be infused at an hourly rate that exceeds the capacity of a peripheral IV.
Question 2
In order to meet her nutritional needs while being treated for a traumatic brain injury, a patient in the intensive care unit has had a percutaneous endoscopic gastrostomy (PEG) tube placed.
What nursing responsibility related to this intervention should the nurse prioritize?
A) Teaching the patient's family to manage the PEG tube and the patient's feedings
B) Administering a hypertonic solution between feedings
C) Aspirating gastric contents 15 minutes after each feeding
D) Confirming tube placement on a regular basis
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