Author Question: A client who requires a central vein access for parenteral nutrition is to receive a solution with: ... (Read 53 times)

Davideckstein7 · **on:** Jul 24, 2018

A client who requires a central vein access for parenteral nutrition is to receive a solution with:

A. Fat emulsion
B. 5 dextrose
C. Amino acids
D. 10 dextrose

Question 2

The client is at risk for orthostatic hypotension. The nurse should:

A. Have the client sit slowly and dangle
B. Refer the client to physical therapy
C. Keep the side rails up all the time
D. Obtain a walker or cane for the client to use

millet · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
C. Parenteral nutrition with greater than 10 dextrose requires a central venous catheter (CVC), which is placed into a high-flow central vein such as the superior vena cava. Parenteral nutrition of amino acids is in solutions as high as 25 dextrose.
A. Fat emulsion is a soybean or safflower oil base that is isotonic and may be infused with an amino acid and dextrose solution through a central or peripheral vein.
B and D. Clients with short-term nutritional needs often receive intravenous solutions of less than 10 dextrose via a peripheral vein in combination with amino acids and lipids.

Answer to Question 2

A
A. Dangling provides adjustment to orthostatic hypotension, allowing blood pressure to stabilize before ambulating. Instruct the client to dangle the feet for a few minutes before standing, walk slowly, and ask for help if dizzy or weak.
B. The nurse would confer with physical therapy on feasibility of gait training and muscle-strengthening exercise.
C. Keep top two side rails up and bed in low position with bed wheels locked when client care is not being administered and client is an older adult, weak, confused, sedated, or sleeping.
D. Evaluate the need for assistive devices such as walker, cane, or bedside commode. Assistive device may provide more stability and help client assume a more active role.