The nurse is supervising the care of a diabetic patient with...

The nurse is supervising the care of a diabetic patient with stomach cancer. After surgery, the patient is placed on total parenteral nutrition (TPN). Which information does the nurse provide the nursing student about the TPN?

“Infection is the most common complication of TPN and can be prevented by proper sterile technique and by limiting the use of TPN to only when necessary.”

“There is an increased risk for thromboembolism with TPN which can be prevented by limiting air exposure to the system and by having the patient perform a Valsalva maneuver.”

“TPN can cause hyperglycemia due to the high dextrose content of the formulations. This can be prevented by providing the appropriate amount of insulin with the formulation and by closely monitoring the patient’s blood glucose levels.”

“TPN can lead to fluid overload resulting in hypertension, edema, and pulmonary congestion. This can be prevented by reducing the infusion rate and frequently assessing the patient’s volume status during infusion.”

Category: Basic Care and Comfort
Difficulty: 6

Topics: Disease Prevention Cardiovascular Communication & Documentation Delegation, Prioritization and Leadership Endocrine Fluid and Electrolytes Health Care Quality Health Promotion Laboratory Studies Medication and Blood Products Routes of Administration

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