The nurse is caring for a client who is malnourished and is receiving parenteral nutrition (PN) containing amino acids and dextrose for the past 24 hours. The nurse observes that about 50 mL remain in the PN container. Which of the following actions is bestfor the nurse to take?
A)Ask the health care provider to clarify the written PN order.
B)Add a new container of PN using the current tubing and filter.
C)Hang a new container of PN and change the IV tubing and filter.
D)Infuse the remaining 50 mL and then hang a new container of PN.

Question

Quizplus · Accepted Answer

All PN solutions are changed at 24 hours. PN solutions containing dextrose and amino acids require a change in tubing and filter every 72 hours rather than daily. Infusion of the additional 50 mL will increase client risk for infection. Changing the IV tubing and filter more frequently than required will unnecessarily increase costs. The nurse (not the health care provider) is responsible for knowing the indicated times for tubing and filter changes.

The Nurse Is Caring for a Client Who Is Malnourished