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The nurse is caring for a client receiving a prescribed infusion of total parenteral nutrition (TPN). Which of the following actions is appropriate?

Monitor blood glucose levels daily

Discard the remaining TPN solution after 24 hours

Change the transparent dressing every 48 hours

Review the provider's order weekly

1 Answer

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Final answer:

The nurse should monitor blood glucose levels daily, discard the remaining TPN solution after 24 hours, and change the transparent dressing as needed. Reviewing the provider's order weekly is not appropriate.

Step-by-step explanation:

The appropriate action for the nurse caring for a client receiving a prescribed infusion of total parenteral nutrition (TPN) would be to monitor blood glucose levels daily. TPN is a highly concentrated solution that contains nutrients and is administered intravenously, so monitoring blood glucose levels is essential to ensure that the client's blood sugar remains within safe levels.

Discarding the remaining TPN solution after 24 hours is also an appropriate action. TPN solutions should not be kept for an extended period as they can become contaminated and increase the risk of infection.

Changing the transparent dressing every 48 hours is not necessary unless there are signs of infection or the dressing becomes soiled. If there are no complications or concerns, the dressing can be left intact for longer periods to maintain a sterile environment.

Reviewing the provider's order weekly is not appropriate for a client receiving TPN. TPN administration requires close monitoring and frequent adjustments to meet the client's nutritional needs, so reviewing the order weekly would not provide timely adjustments.

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