The nurse received an order from the healthcare provider to discontinue a client's total parenteral nutrition (TPN) and start them on a soft diet.
The nurse should take which actions? Select all that apply.
The nurse received an order from the healthcare provider to discontinue a client's total parenteral nutrition (TPN) and start them on a soft diet.
The nurse should take which actions? Select all that apply.
Statistics
Subject/Lesson
Subject
Nutrition
Lesson
Nutrition
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Total Parenteral Nutrition
Item Type
Item Type
Application
Explanation
Choice B is correct. TPN should be tapered to prevent the client from developing hypoglycemia when the TPN is discontinued. The recommendation is to taper the TPN's infusion rate by 50% for two hours. Then, the infusion can be stopped.
Choice D is correct. Eating while receiving a TPN infusion is not a contraindication. TPN is often used to adjunctively provide the client with additional protein, calories, and vitamins while the client still has PO (by mouth) intake.
Choice A is incorrect. Clinical guidance still recommends TPN be tapered until it is totally stopped, which prevents the client from developing hypoglycemia.
Choice C is incorrect. Delaying the introduction of the client's prescribed soft diet is not necessary. The nurse may offer the client foods from the prescribed diet while tapering the TPN.
Choice E is incorrect. Assessing the client for hypoglycemia should occur after the TPN has been discontinued. The client does not have the risk for hyperglycemia once TPN has been discontinued. Instead, this would be a risk during the infusion because of the high dextrose content.
Choice F is incorrect. While TPN is being tapered, no additional infusion(s) are necessary unless infusion of TPN is be delayed or interrupted, or problems with central vascular access occurs. In that case, the nurse should infuse dextrose 10% in water at the same rate of the TPN for two hours to prevent hypoglycemia.
Related Videos
2 Key Topics
TPN Therapy
10.5 Parenteral Therapies
Additional Info
✓ TPN is a risk factor for infection as the high glucose content makes the client more likely to develop a bacterial or fungal infection
✓ During an infusion of TPN, the nurse should monitor the client's vital signs and blood glucose
✓ Hyperglycemia may delay healing and should be managed with a prescribed insulin protocol
