Final answer:
The appropriate actions for caring for a client with a triple lumen central venous access device prescribed TPN include
(1) dedicating one lumen to TPN administration, (2) initiating the infusion at the goal rate, (3) adding a .22-micron filter to the infusion set, and (4) changing the infusion set every 96 hours.
Step-by-step explanation:
The appropriate action for the nurse caring for the client with a triple lumen central venous access device prescribed total parenteral nutrition (TPN) is to dedicate one lumen to TPN administration. This means that one of the lumens on the central venous access device should be used exclusively for administering the TPN. This ensures that the TPN does not get mixed with other medications or fluids.
Initiating the infusion at the goal infusion rate is also appropriate. The goal infusion rate is the rate at which the TPN should be infused into the client's bloodstream, as prescribed by their healthcare provider.
Adding a .22-micron filter to the infusion set is also necessary. The filter helps remove any particles or contaminants from the TPN solution, ensuring that it is delivered to the client's bloodstream in a safe and sterile manner. Lastly, it is important to change the infusion set every 96 hours to prevent the risk of infection. This is in line with the recommended practice for central venous access devices.