CGRN GI/Endoscopy Practice Exam

Category - Pharmacological

A nurse is preparing to administer total parenteral nutrition to a client with a severely dysfunctional gastrointestinal tract. Which of the following actions of the nurse is inappropriate?
  1. Change of TPN solution every 12 to 24 hours
  2. IV medications and blood are given through the TPN line
  3. Adding insulin to the TPN solution
  4. Use of strict aseptic technique
Explanation
Answer: B - IV medications and blood are not given through the TPN line to prevent infection and incompatibility. The TPN solution is highly concentrated with glucose, making it a good breeding site for bacterial growth. Therefore, change of solution is necessary every 12 to 24 hours. Insulin can be added to control the blood glucose level. The use of strict aseptic technique is necessary to prevent infections.
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