ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B, preparing the client for a central venous line. PN with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins.
Therefore, a central venous line is necessary to deliver PN safely and prevent complications such as phlebitis or thrombosis. Changing the PN infusion bag every 48 hours (
A) is a standard practice but not directly related to the safety of PN administration. Obtaining random blood glucose daily (
C) is important to monitor for hyperglycemia, but it does not address the method of PN delivery. Administering the PN and fat emulsion separately (
D) is not necessary as they can be given together in a single solution.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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