Final answer:
The client's statement about storing TPN bags on the kitchen counter indicates a need for more education on proper storage, as TPN solutions should be refrigerated. The other statements show they understand the importance of monitoring for complications and maintaining catheter site hygiene.
Step-by-step explanation:
A client who is receiving total parenteral nutrition (TPN) needs to be well-informed about the proper storage and handling of TPN supplies to prevent complications such as infections. The statement that the bags can be stored on the kitchen counter indicates a need for further teaching because TPN solutions must be stored in a refrigerator to maintain sterility and should only be removed a short time before use to reach room temperature. TPN bags should not be left at room temperature, especially on surfaces that could be contaminated with food and other bacteria, which could promote microbial growth. The other statements reflect correct understanding: the patient must monitor for symptoms of electrolyte imbalances (such as numbness or weakness), weigh themselves daily to check for fluid balance, and ensure there is no redness or signs of infection around the catheter insertion site.
The risk of catheter-related bloodstream infections is significant, as the World Health Organization estimates a high number of such infections annually in the US, sometimes with fatal consequences. Proper handling and storing of TPN bags and careful monitoring of the catheter site are crucial for preventing these infections. The clinical focus scenario involving Barbara also emphasizes the importance of identifying potential infection signs, such as redness, warmth, and fever which all require prompt medical attention.