A patient receiving total parenteral nutrition has an empty replacement bag that will not arrive for 30 minutes. What is the priority nursing action?
Correct answer: C. Administer prescribed dextrose while arranging the replacement bag
- A. Stop the infusion and flush the catheter with saline
- B. Continue the infusion with sterile water until the bag arrives
- C. Administer prescribed dextrose while arranging the replacement bag
- D. Increase the infusion rate after the replacement bag arrives
Explanation
TPN should not be stopped suddenly because the patient may develop rebound hypoglycaemia. Prescribed dextrose helps maintain glucose while the replacement solution is obtained. Sterile water is not a substitute for TPN, and increasing the later rate can cause fluid and glucose overload.
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About Nutrition, Fluids and Electrolytes
Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.
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50 free Nutrition, Fluids and Electrolytes MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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