Pharmacology and the Nursing Process
Pharmacology and the Nursing Process
7th Edition
ISBN: 9780323087896
Author: Linda Lane Lilley
Publisher: Elsevier Health Sciences
Question
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Chapter 55, Problem 1CS

(1)

Summary Introduction

To describe:

The nurse best answer about Mrs. C.’s doubt about the infusion bag.

Case summary:

Mrs. C. is a florist (28-year-old) suffering from severe vomiting due to pregnancy (at 13 weeks of gestation) and she is unable to eat. Due to the lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

(2)

Summary Introduction

To describe:

The nurse should give the best response to Mrs. C. doubt about the causes of TPN.

Case summary:

Mrs. C. is a florist (28-year-old) suffering from severe vomiting due to pregnancy (at 13 weeks of gestation) and she is unable to eat. Due to the lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

(3)

Summary Introduction

To describe:

The potential complications that can occur with peripherally administered TPN, which should be monitored by the nurse.

Case summary:

Mrs. C. is a florist (28-year-old) suffering from severe vomiting due to pregnancy (at 13 weeks of gestation) and she is unable to eat. Due to the lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

(4)

Summary Introduction

To describe:

The nurse hangs a new bag of TPN to Mrs. C.’s peripheral TPN infusion. After a few hours, Mrs. C.’s complains of the infusion site hurting her. The nurse checks the TPN bag and notices that one of the contents is listed as 20 % dextrose. What do you think went wrong? What is the nurse’s priority action at this time? Explain your answer. The priority actions of the nurse, when she noticed that one of the contents listed as 20% dextrose.

Case summary:

Mrs. C. is a florist (28-year-old) suffering from severe vomiting due to pregnancy (at 13 weeks of gestation) and she is unable to eat. Due to lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

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