Difficulty: Medium
Average Score: 92%
Simulated
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client's next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?
Correct answer
D
Rationale
Correct Answer: Dextrose 10% in water (D)
Rationale:
1. Dextrose 10% provides calories to meet the client's energy needs during the delay in TPN supply.
2. The higher dextrose concentration helps prevent hypoglycemia in clients dependent on TPN.
3. Dextrose 10% can be infused safely without causing fluid overload or electrolyte imbalances.
4. Dextrose 5% (choice A) may not provide sufficient calories for a client on TPN.
5. Lactated Ringer's solution (choice B) and 0.9% sodium chloride (choice C) do not provide essential nutrients like dextrose.
6. Choosing Dextrose 10% in water ensures the client's caloric and glucose needs are met until TPN supply is available.
Rationale:
1. Dextrose 10% provides calories to meet the client's energy needs during the delay in TPN supply.
2. The higher dextrose concentration helps prevent hypoglycemia in clients dependent on TPN.
3. Dextrose 10% can be infused safely without causing fluid overload or electrolyte imbalances.
4. Dextrose 5% (choice A) may not provide sufficient calories for a client on TPN.
5. Lactated Ringer's solution (choice B) and 0.9% sodium chloride (choice C) do not provide essential nutrients like dextrose.
6. Choosing Dextrose 10% in water ensures the client's caloric and glucose needs are met until TPN supply is available.