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Practice Question

A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?

Answer Choices:

Correct Answer:

Dextrose 10% in water

Rationale:

🥤 Dextrose 10% in water — This is correct because TPN contains high concentrations of glucose, and a sudden stop in TPN infusion can lead to hypoglycemia. Dextrose 10% in water (D10W) is the best temporary replacement to maintain blood glucose levels and prevent complications until the TPN is restarted.

🥤 3% sodium chloride — This is incorrect because it is a hypertonic saline solution used for severe hyponatremia, not for substituting TPN.

🥤 Lactated Ringers — This is incorrect because it does not contain the necessary glucose content to prevent hypoglycemia.

🥤 0.9% sodium chloride — This is incorrect because it also lacks glucose and does not provide nutritional support or blood sugar maintenance in the absence of TPN.

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This question is from ATI RN Pharmacology Exam which contains 50 questions.

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From Exam
ATI RN Pharmacology Exam

50 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI PHARMACOLOGY
  • Answer Choices: 4
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