Question

. The nurse is planning care for the client who has new prescription for parental nutrition, 20 % detrox and fat embolism which of the following is appropriate to indicate in the plan of care? Prepare the client for central venous line. . Obtain random blood sample glucose daily . Administer PM infusion separately. . Change the IV pump infusion every 48 hours.

Answer 1

Solution:

Step 1:

Prepare the client for a central venous line.

Detrox contains large volumes and fat embolism administered through peripheral lines increases the chance of thrombophlebitis. So it is better can be administered through a central venous line.

This is an appropriate answer.

Step 2:

Blood glucose level should be monitored for every 4 hours initially. The lab values of CBC, protein, electrolytes should be administered every 24 hours.So this is not an appropriate plan of care.

Step 3:

Detrox and fat embolism can be administered one by one. No need to administer separately.

So this is not an appropriate one.

Step 4:

IV pump should be changed according to the agency policy. Detrox increased the risk of infection. So it should be changed at least every 24 hours. so this, not an appropriate one.

1. The nurse needs to know the reason why the patient is not willing to take the medication. Based on this, the nurse should plan for alternative management. so the appropriate one is

Why you think pain medication is not going to help you.