Nursing Considerations for Tube Feeding with Natural Food

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What should the nurse do if there are any discrepancies between the TPN solution and the physician's order?

Increase the flow rate of the TPN.

Hang the solution and notify the physician.

Do not hang the solution and notify the pharmacy. (correct)

Add necessary medications to the solution.

Which of the following is a correct practice regarding the administration of TPN or PPN?

Add any other medication to the solution once distributed by pharmacy.

Administer through IV tubing without an inline filter.

Increase the TPN rate rapidly in the beginning.

Check for crystals in the solution using a 1.2 micron filter. (correct)

What should be done if a TPN solution appears cloudy, dark in color, or has visible fat globules?

Check for crystallization using a 0.22 micron filter.

Administer it to the patient regardless.

Return it to the pharmacy for replacement. (correct)

Increase the TPN rate to clear the solution.

What is a key consideration when infusing TPN through IV tubing?

Using a 1.2 micron filter for lipid-containing solutions. Signup and view all the answers

What is the appropriate action if there are any visible fat globules in the TPN solution?

Return it to the pharmacy for replacement. Signup and view all the answers

In what circumstances should the TPN rate be gradually increased?

Based on patient tolerance and various balance considerations. Signup and view all the answers

What is the recommended frequency for administering tube feeding according to the text?

Every 4 hours Signup and view all the answers

What is the basic dilution ratio for tube feeding formula specified in the text?

1:1 (1kcal = 1ml of water) Signup and view all the answers

What type of milk is suggested in tube feeding for a client based on their condition?

Milk type depends on the client's condition Signup and view all the answers

How should tube feeding formula be stored to prevent contamination?

In the refrigerator Signup and view all the answers

What is recommended when using meat in tube feeding according to the text?

Boil chicken breast or Vienna sausage twice to reduce salt and fat content Signup and view all the answers

How much total volume per day is recommended for tube feeding according to the text?

2300 ml/day Signup and view all the answers

What is the recommended filter size for lipid infusions?

1.2 micron filter or larger Signup and view all the answers

What is the recommended initial infusion rate for lipid solutions?

1 mL/minute Signup and view all the answers

If a new TPN solution is not available when the previous one has infused, what interim solution should be hung?

10% dextrose in water Signup and view all the answers

If a central line is removed due to complications, how should the TPN solution be administered?

A peripheral solution with at least 10% dextrose must be used Signup and view all the answers

If a TPN infusion falls behind schedule, what action should be taken?

Do not attempt to catch up, continue at the original rate Signup and view all the answers

How should TPN infusions be discontinued?

Taper the rate down as ordered Signup and view all the answers