Question

The nurse is preparing to administer an infusion of amino acid-dextrose total parenteral nutrition (TPN) through a central venous catheter (CVC) line. Which action should the nurse implement first?

Answer 1

The nurse should first verify the correctness of the TPN order, the patient's identity, and that the CVC line is patent and sterile before administering the infusion.

Step-by-step explanation:

The nurse preparing to administer amino acid-dextrose total parenteral nutrition (TPN) through a central venous catheter (CVC) line must prioritize patient safety by adhering to evidence-based practices. The first action the nurse should take is to verify the correctness of the TPN order, the patient's identity, and ensure that the central line is patent and free from infection.

Drawing from Dr. Pronovost's checklist-based approach, the nurse must ensure the sterility of the procedure by properly cleaning the CVC line site and using aseptic technique throughout the TPN administration. Additionally, the nurse should be vigilant in observing for early signs of complications such as infection or poor tolerance to the infusion and be prepared with relevant clinical knowledge to manage such incidents effectively.