Final answer:
Assessing fluid volume status and preventing infection are important nursing considerations in total parenteral nutrition (TPN). TPN is administered intravenously through a central venous catheter and provides adequate levels of protein, carbohydrates, and fats. Soy-based lipids should not be given during the first week of a critical illness.
Step-by-step explanation:
Statement a is correct. Assessing fluid volume status and preventing infection are important nursing considerations in total parenteral nutrition (TPN) because TPN is administered intravenously and can have an impact on fluid balance and infection risk.
Statement b is incorrect. Fingerstick glucose levels are not typically assessed every 6 hours in TPN. Blood glucose levels are usually monitored more frequently, such as every 4-6 hours or per hospital protocol.
Statement c is incorrect. Total parenteral nutrition is not administered through a feeding tube and pump. It is administered intravenously through a central venous catheter.
Statement d is correct. Total parenteral nutrition with added lipids provides adequate levels of protein, carbohydrates, and fats. TPN is a complete nutritional solution that is infused intravenously to meet the patient's nutritional needs.
Statement e is correct. Soy-based lipids should not be given during the first week of a critical illness because they contain high levels of phytosterols, which may have negative effects on the immune system and increase the risk of complications.