Author Question: Prior to administering a hypertonic total parenteral nutrition solution, the nurse verifies that the ... (Read 18 times)

imowrer · **on:** Jul 23, 2018

Prior to administering a hypertonic total parenteral nutrition solution, the nurse verifies that the client has:

1. serum electrolyte imbalances.
2. an insulin coverage scale.
3. robust peripheral veins.
4. a central venous access device.

Question 2

The nurse is preparing to administer amoxicillin via PEG tube to a client who is suffering from a UTI. To prevent a drug interaction, the nurse plans to hold the feeding for _____ hour(s) before and after administering the medication.

Standard Text: Record your answer rounding to the nearest whole number.
What will be an ideal response?

kbennett34 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Electrolyte imbalances should be corrected prior to initiating therapy; however, the client does not have to have an electrolyte imbalance to receive TPN.
Rationale 2: It is not necessary to have orders for insulin coverage prior to initiating TPN; however, it is important to monitor glucose levels.
Rationale 3: Hypertonic solutions should not be administered peripherally.
Rationale 4: A central venous access device, with confirmed placement, is required to infuse a hypertonic TPN solution.
Global Rationale: A central venous access device, with confirmed placement, is required to infuse a hypertonic TPN solution. Electrolyte imbalances should be corrected prior to initiating therapy; however, the client does not have to have an electrolyte imbalance to receive TPN. It is not necessary to have orders for insulin coverage prior to initiating TPN; however, it is important to monitor glucose levels. Hypertonic solutions should not be administered peripherally.

Answer to Question 2

Correct Answer: 1
Rationale: Holding the enteral feeding for 1 hour before and after an antibiotic dose will help minimize the drug's interaction with the enteral feeding.
Global Rationale: Holding the enteral feeding for 1 hour before and after an antibiotic dose will help minimize the drug's interaction with the enteral feeding.