An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.What should nursing care include?
A) Prepare the family for impending death.
B) Teach the family to watch for signs of central venous catheter infection.
C) Teach the family how to calculate caloric needs.
D) Secure TPN and gastrostomy tubing under the diaper,to lessen risk of dislodgment.

Question

Quizplus · Accepted Answer

During TPN therapy,care must be taken to minimize the risk of complications related to the central venous access device such as catheter infections,occlusions,or accidental removal.This is an important part of family teaching.The prognosis for patients with short bowel syndrome depends in part on the length of residual small intestine,and it has improved with advances in TPN.Although parents need to be taught about nutritional needs,the caloric needs,prescribed TPN,and rate are the responsibility of the health care team.The tubes should not be placed under the diapers because of risk of infection.

An Infant with Short Bowel Syndrome Will Be Discharged Home