Author Question: A client begins total parenteral nutrition to enhance nutritional status before surgery. The nurse ... (Read 35 times)

savannahhooper · **on:** Jul 23, 2018

A client begins total parenteral nutrition to enhance nutritional status before surgery. The nurse is providing teaching about this treatment. Which statement by the client indicates a need for more teaching?

a. The TPN fluid is a complete nutritional solution.
b. I will urinate a lot because of the fluid and the sugar.
c. I can take the IV dressing off in the shower.
d. I need my urine and blood checked frequently.

Question 2

A nurse has checked the residual in a gastrostomy tube before providing a feeding for an adult client. The previous feeding of 240 mL was given 4 hours ago. The residual was 75 mL. What should the nurse do?

a. Administer the feeding as ordered.
b. Stop the infusion, wait 1 hour, and check the residual again.
c. Hold the feeding and call the physician for orders.
d. Administer half of the ordered feeding and then check residual.

Leostella20 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
The IV dressing is sterile and must stay in place.

Answer to Question 2

ANS: B
If residual is more than 50 mL, stop infusion for 30 minutes to 1 hour, and then recheck.