Final answer:
Proper nursing care for a client on TPN includes administering 0.9% sodium chloride when TPN is not available, checking capillary blood glucose every 4 hours, obtaining the client's weight regularly, and changing the IV tubing at minimum every 24 hours, not every 3 days due to the risk of infection.
Step-by-step explanation:
The student is asking about the proper nursing care for a client who is receiving Total Parenteral Nutrition (TPN). There are specific protocols to follow when administering TPN to ensure patient safety and the effectiveness of the treatment. When TPN is not available from the pharmacy, administering 0.9% sodium chloride is a common practice to maintain vein openness and fluid balance until the TPN can be provided. It is also essential to monitor the client's blood glucose levels regularly, as TPN can cause fluctuations in blood sugar; therefore, checking the client's capillary blood glucose every 4 hours is recommended. Regularly obtaining the client's weight is important to monitor for fluid balance and nutritional status; however, this is typically done daily in a hospital setting for a patient on TPN, rather than weekly. Lastly, changing the IV tubing of TPN is critical due to the high risk of infection, and it is generally recommended to change the tubing at least every 24 hours, not every 3 days, due to the high-glucose content in TPN which can increase the risk of bacterial growth.