Question

In: Nursing

What would be the priority nursing consideration/intervention when caring for a client receiving TPN? Take notes...

What would be the priority nursing consideration/intervention when caring for a client receiving TPN? Take notes here to describe the strengths and weaknesses of your own submission based on your review of the expert answer.

Expert Solution

Total parenteral nutrition

Total parenteral nutrition is the method of administration of essential fluid and nutrients via the central venous catheter.

indication

:Patient with loss of bodyweight less than 10%.

: Patients who can not take food 7 days after post operative days.

:Bowel obstruction and bowel rest

:Poor absorption due to short bowel syndrome.

: Severe hypoalbuminemia associated with dysphagia.

Requirements of fluid include

Water_35 –40 ml/kg/day

Energy:30-45kcal/kg/day

Amino acid :1.0-2.0g/kg/day

Essential vitamins,minerals,trace elements,electrolyte and fatty acid.

Priority nursing intervention for TPN

The goal of nursing intervention is that the maintain nutritional balance,prevent infection and maintain fluid balance.

Most important nursing intervention is that maintain aseptic technique while handling of TPN catheter,solution,and administration of catheter.

Most complication related to TPN is the catheter related blood stream infection.the bacteria is highly grow in dextrose rich environment.as a nurse we have the responsibility to prevent this infection.

Following of aseptic technique while insertion,care and maintenance is help to prevent catheter related blood stream infection and closely monitor for the sign of infection include fever,restless etc,this is the priority intervention for patients with TPN.

Strength s of my answer

: Detailed step wise step explanation regarding TPN and intervention

:Provide detailed explanation

weakness

:Grammar mistake

Nightingale answered 2 years ago

When caring for a client with sickle cell anemia, list 5 nursing intervention with an explanation...

When caring for a client with sickle cell anemia, list 5 nursing intervention with an explanation of each

1. As a nurse what are your nursing responsibilities when caring for patients who are receiving...

1. As a nurse what are your nursing responsibilities when caring for patients who are receiving phenytoin (Dilantin)? 2. As a nurse what are your nursing responsibilities when caring for patients who are taking antineoplastic drugs? 3. As a nurse what are your nursing responsibilities when caring for patients who are on cyclosporine (Sandimmune)?

nursing consideration when providing care for a client with autologous skin graft

A nurse is caring for a client who is receiving an epidural block with an opioid...

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? A. Hypnosis B. Polyuria C. Bilateral crackles Hyperglycemia

A nurse is caring for a client who is receiving chemotherapy and reports a loss of...

A nurse is caring for a client who is receiving chemotherapy and reports a loss of appetite. Which of the following strategies should the nurse recommend to increase the client's protein intake? A. Use honey on toast B. Mix granola with fruits C. Grate cheese into soups D. Add mayonnaise to salads

Taking into consideration all of his health problems, what are the top 5 priority nursing diagnoses...

Taking into consideration all of his health problems, what are the top 5 priority nursing diagnoses for him? What would be appropriate outcomes for each diagnosis? What are some appropriate interventions for each diagnosis (remember to include MD orders as well as nursing actions, and note that there might be a lot of overlap in terms of interventions for different diagnoses)? Your patient is a 92-year old male who was just admitted to your med/surg unit through the ED for...

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous...

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous infusion. Which laboratory finding requires immediate nursing intervention? 1. Platelet count of 100,000 mm3 (100 × 109/L) 2. Red blood cell count of 4.2 cells (4.2 × 1012/L) 3. International normalized ratio (INR) of 1.2 (1.2) 4. Activated partial thromboplastin time (aPTT) of 60 seconds (60 seconds) Select the best answer.

A nurse is caring for a client who is receiving epidural analgesia. Which of the following...

A nurse is caring for a client who is receiving epidural analgesia. Which of the following assessment findings is the nurse's priority? Hypotension Bladder distention Hypoactive bowel sounds Weakness to lower extremities 6672076520 A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include? "Floss your teeth gently following each meal." "Brush your teeth for 60 seconds twice daily." "Rinse your mouth with hydrogen peroxide."...

5. The RN is caring for a client on mechanical ventilation. The RN notes an increase...

5. The RN is caring for a client on mechanical ventilation. The RN notes an increase in peak airway pressure. What nursing actions are appropriate at this time? Select all that apply. Call the health care provider. Assess the tubing for kinks. Call the Rapid Response Team Assess whether the tubing has become disconnected. Auscultate the client ’s lungs. 6. Which nursing interventions are appropriate when preparing a client for a cardiac magnetic resonance angiogram (MRA)? Select all that apply...

Identify 2 nursing diagnoses, and appropriate nursing intervention for a client with Personality disorders