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

[809779]

The nurse is caring for a client receiving parenteral nutrition (PN) via a central line. The nurse should monitor which of the following to detect the development of the most common complica-tion of PN?
 
  1. Temperature
  2. Daily weight
  3. Intake and output (I&O)
  4. Serum blood urea nitrogen (BUN) level

Question 2

The client taking theophylline has a serum theophylline level of 15 mcg/mL. The nurse interprets that this result is _____ the therapeutic range.
 
  1. Below
  2. Near the top of
  3. In excess of
  4. In the middle of

[tofugiraffe]

Answer to Question 1

1

Rationale: The most common complication associated with PN is infection. Monitoring the temperature would provide data that would indicate infection in the client. Monitoring the serum BUN level would not provide information related to infection and is most closely related to as-sessing renal function. Weighing the client daily and monitoring I&O would provide information related to fluid volume overload.

Answer to Question 2

4

Rationale: The normal therapeutic range for the theophylline level is 10 to 20 mcg/mL. A level above 20 mcg/mL is considered toxic. The value of 15 mcg/mL places the client in the middle of the therapeutic range.

[809779]

TYSM

[amit]

Excellent