Which of the interventions is the priority when caring for inflammatory bowel disease client?

Admin June 8, 2018
Which of the interventions is the priority when caring for inflammatory bowel disease client?

During an acute exacerbation of inflammatory bowel disease, a patient is to receive total parenteral nutrition (TPN) and lipids. Which of these interventions is the priority when caring for this client?

  1.  Infuse the solution in a large  peripheral vein
  2. Monitor the patient’s blood glucose per protocol
  3. Change the administration set every 72 hours
  4. Monitor urine specific gravity every shift

Answer:
2. Monitor the patient’s blood peripheral vein

TPN can cause hyperglycemia, so blood glucose levels should be closely monitored. Because of the hypertonicity of the TPN solution, it must be administered via a central venous catheter. The high glucose and lipids makes the TPN an excellent medium for bacterial growth so administration sets should be changed every 24 hours if the TPN contains lipids.

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