Assessment of blood glucose levels is prescribed every 6 hours for a patient who is receiving parenteral nutrition (PN). The patient asks why this is necessary. Which response by the nurse is most appropriate?
a. "We have to monitor your glucose because the physician prescribed it."
b. "When people receive PN, they develop mild diabetes, which needs to be well regulated."
c. "PN contains a lot of sugar. We monitor blood glucose to be sure it doesn't get too high."
d. "There is a lot of sugar in the solution, which can increase the risk for rebound hypoglycemia."
ANS: C
C. Because of the high glucose concentration of PN, the patient is at risk for infection and blood glucose disturbances. Ongoing assessments include blood glucose levels according to institution policy. A. A physician may have prescribed the monitoring, but it is not a satisfactory answer for the patient. B. Glucose should return to normal after PN is discontinued, so the patient should not be told he has diabetes unless a diagnosis has been made. D. Rebound hypoglycemia can occur after PN is discontinued.
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