hard · NCLEX-RN pharmacology
In what order should the nurse perform the following actions to manage the client’s metabolic risk and the occluded line? (Rank the steps in order of priority). Apply the response specifically to this case: total parenteral nutrition abruptly interrupted after central-line occlusion with rebound hypoglycemia, refeeding electrolyte shifts, and line-infection risk.
- Notify the healthcare provider of the occlusion and hypoglycemia.
- Verify patency of alternate CVAD lumens.
- Assess CVAD site for signs of displacement or kinking.
- Initiate D10W infusion at the TPN rate.
- Prepare for possible Alteplase administration per protocol.
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