Classify each parenteral-nutrition administration action by the safety decision it supports.
Matrix
Choose your responses, then check the answer.
Explanation
Parenteral nutrition requires a dedicated line or lumen when possible, the appropriate in-line filter, protected admixture integrity, and pharmacy review of compatibility or filter occlusion. An occluded filter is not bypassed.
Quick answer Protect the admixture, lumen, filter, and compatibility chain.
Why this is correct Particles, precipitates, incompatible medications, microbial contamination, and an improvised bypass can reach the circulation directly through central access.
Easy analogy or mental picture Treat every infusion as a controlled clinical system: verify the product and access, recognize a changing cue, stop preventable exposure, stabilize the client, and confirm the response.
NCLEX decision rule Choose the action that prevents the most immediate infusion-related harm while preserving vascular access and the ordered diagnostic evidence.
Why the other choices are wrong Options that restart a suspect product, bypass a safety device, force an occluded tube, or delay reassessment can convert a reversible warning into serious harm.
2ASPEN Position Paper: Update on Use of Filters for Parenteral NutritionUse of a 1.2-micron in-line filter for PN and lipid emulsion and prohibition on bypassing an occluded filter
Blood product, nutrition, and intravenous-fluid safety reviewVerify the product, prescription, route, access device, filter or tubing, compatibility, baseline findings, emerging adverse cues, response plan, and measurable follow-up.