hard · NCLEX-RN Pharmacological and Parenteral Therapies

The nurse is caring for a client receiving total parenteral nutrition (TPN) via a central venous catheter. The TPN bag is empty, and the replacement bag from the pharmacy is delayed by one hour.

Which action is the priority?

  1. Increase the rate of the maintenance intravenous fluids to double the TPN rate.
  2. Hang 10% dextrose in water (D10W) at the same rate as the TPN, for this client.
  3. Change the central line dressing to ensure site patency during the delay.
  4. Flush the central line with heparin lock solution and wait for the pharmacy.

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