A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take to prevent adverse effects?
Explanation & Rationale
A. Monitor the client's weight weekly: While monitoring weight is important for evaluating the effectiveness of TPN, doing it weekly is not frequent enough to catch early signs of fluid imbalance or nutritional issues. Daily weight monitoring is more appropriate. B. Change the IV tubing every 24 hours: TPN solutions are high in glucose, making them an excellent medium for bacterial growth. Changing IV tubing every 24 hours reduces the risk of infection, including central line-associated bloodstream infections (CLABSIs). C. Change the IV dressing every 96 hours: IV dressings, especially over central lines, are usually changed every 7 days unless soiled, loose, or damp. While proper dressing changes are crucial to prevent infection, changing the tubing is a more direct measure to reduce the risk of contamination from the TPN solution itself. D. Perform blood glucose monitoring hourly: Hourly glucose checks are excessive for stable clients on TPN. Typically, blood glucose is monitored every 4 to 6 hours unless the client is unstable or experiencing fluctuations in blood sugar levels.