NCSBN Practice Questions 76-90

A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A. Use aseptic technique during dressing changes B. Check results of liver enzyme tests C. Maintain central line catheter integrity D. Monitor serum glucose levels - D Hyperglycemia may occur during the first day or two as the child adapts to the highglucose load of the TPN solution. Thus, a priority nursing responsibility is blood glucose testing. A 2-year-old child has just been diagnosed with cystic fibrosis. The child's parent asks the nurse what the most important concerns are at this time. Which is the appropriate response from the nurse?