The Nursing Process and
Parenteral Nutritional Therapy
When administering parenteral nutritional therapy, the nurse should use the fol-
lowing nursing process:Assessment- Assess:
° vital signs.
° patient’sweight
° lab values.
° patient’s intake and output.
Nursing Diagnoses - Risk for:
° fluid volume excess.
° fluid volume deficit.
° infection.
° respiratory complications.
° altered nutrition.
Planning - Patient will:
° meet nutritional needs.
° maintain body weight.
° maintain fluid volume balance. - Patient will not:
° develop infection at the insertion site or a systemic infection.
Interventions - Maintain sepsis when changing the solution and dressing.
- Weigh the patient each day.
- Refrigerate the solution until time for use.
- Do not use the parenteral nutritional line to draw blood,
give medication, or check central venous pressure - Monitor:
° vital signs.
(^192) CHAPTER 11 Nutritional Support Therapies