The nurse is monitoring a patient who is receiving a total...

Name: Problem 3, Chapter 55: Pharmacology and the Nursing Process
Uploaded: 2022-02-05T17:24:12-08:00
Duration: 41 s
Channel: Ronald Prasad
Description: The nurse is monitoring a patient who is receiving a total parenteral nutrition (TPN) infusion and notes that the patient has cold clammy skin, shows tachycardia, and is complaining of feeling dizzy. What is the immediate action of the nurse? a Stop the TPN infusion. b Check the patient's blood glucose level. c Order a stat (immediate) electrocardiogram. d Obtain an order for blood cultures.

The nurse is monitoring a patient who is receiving a total parenteral nutrition (TPN) infusion and notes that the patient has cold clammy skin, shows tachycardia, and is complaining of feeling dizzy. What is the immediate action of the nurse? a Stop the TPN infusion. b Check the patient's blood glucose level. c Order a stat (immediate) electrocardiogram. d Obtain an order for blood cultures.

The nurse is monitoring a patient who is receiving a total parenteral nutrition (TPN) infusion and notes that the patient has cold clammy skin, shows tachycardia, and is complaining of feeling dizzy. What is the immediate action of the nurse?
a Stop the TPN infusion.
b Check the patient's blood glucose level.
c Order a stat (immediate) electrocardiogram.
d Obtain an order for blood cultures.

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Key Concepts

Immediate Nursing Interventions and Prioritization

Nursing interventions in the context of infusion therapies involve quick prioritization of actions to ensure patient safety. When signs of an adverse reaction occur, the nurse must act immediately by stopping the infusion and initiating further assessments, as interrupting the delivery of potentially harmful substances is the first step in minimizing the impact of the reaction.

Total Parenteral Nutrition (TPN) Administration

Total parenteral nutrition is a method of providing nutrition intravenously to patients who cannot obtain adequate nutrition by the usual means. It requires careful monitoring because the infusion bypasses the digestive system, making the patient more vulnerable to complications such as metabolic imbalances, infections, and infusion reactions.

Recognition of Infusion Reaction Signs

The ability to recognize early signs of an adverse reaction, such as cold clammy skin, tachycardia, and dizziness, is crucial in a clinical setting. These symptoms can indicate a systemic response or shock, necessitating prompt evaluation and intervention to prevent further deterioration of the patient's condition.

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