The nurse is caring for a client receiving TPN. The nurse understands that TPN management includes which of the following? Select all that apply.

  • monitor daily weights and intake and output
  • monitor serum electrolytes and glucose levels daily
  • change IV tubing every 48 hours or per facility protocol
  • change the IV site dressing every 24 hours or per facility protocol
  • if TPN is unavailable, OK to give D10W or D20W until TPN becomes available
Numbers 1, 2, and 5 are correct.
TPN tubing should be changed every 24 hours or per facility protocol. IV site dressing changes should be performed every 48 to 72 hours or per facility protocol.