A patient is admitted with severe malnutrition.A central venous catheter is placed in the right subclavian vein and total parenteral nutrition (TPN)is started.For which complication should the patient be evaluated immediately after insertion of the catheter?
A) Pneumothorax
B) Hypoglycemia
C) Central venous thrombosis
D) Pulmonary aspiration

Question

Quizplus · Accepted Answer

Central vein total parenteral nutrition (TPN)carries an increased risk of sepsis as well as potential insertion-related complications such as pneumothorax and hemothorax.Repeated traumatic catheterizations are most likely to result in thrombosis.To prevent hypoglycemia,administer oral carbohydrates or an IV bolus of dextrose.Elevate the head of the bed 30 to 45 degrees to prevent pulmonary aspiration after the infusion has begun.

A Patient Is Admitted with Severe Malnutrition