What is an important nursing intervention for a client receiving total parenteral nutrition (TPN) through a central venous access device?

An important nursing intervention for a client receiving total parenteral nutrition (TPN) through a central venous access device involves ensuring the client's safety and preventing complications during the handling of the central line. Placing the client in the supine position before changing the tubing is crucial because this position helps stabilize the central venous access device, reduces the risk of air embolism during the tubing change, and allows for better visualization and access to the central line.

This intervention helps maintain the integrity of the central venous catheter, ensuring that the TPN is delivered effectively. Additionally, it can prevent potential complications associated with TPN administration, such as dislodgment of the catheter or accidental entry of air into the bloodstream.

While administering antibiotics alongside TPN may be necessary for certain patients, it is not a fundamental intervention specifically related to the management of TPN itself. Encouraging oral intake of fluids is not appropriate for a client on TPN, as this route of nutrition is used when oral or enteral intake is not feasible. Monitoring for fever is essential in general nursing care, especially if there is suspicion of infections associated with central lines. However, it does not specifically address the critical action required during a TPN tubing change. Thus, ensuring the