Ati bsn 0926 med surg proctored exam
A student asks the nurse why a peripherally inserted central catheter is needed for a patient receiving parenteral nutrition with 25% dextrose. Which response by the nurse is accurate?
Explanation & Rationale
Rationale: A. Hypertonic solutions, like TPN with 25% dextrose, can irritate peripheral veins and cause phlebitis. Administering them through a central line allows rapid dilution in a large volume of blood, reducing vein irritation and promoting safe infusion. B. Blood glucose monitoring is not dependent on the line type; it is done via peripheral blood samples. C. The infusion rate is determined by the prescribed therapy, not by whether a central line is used. D. Central lines do not decrease the risk of infection; in fact, they carry a higher risk of central line–associated bloodstream infections compared with peripheral lines.
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