The nurse is caring for a client who was started on total parenteral nutrition (TPN) 2 days previously. The client reports blurred vision, dry mouth, and frequent urination. Which is the nurse's priority action?
a. Weigh the client.
b. Assess the client's vital signs.
c. Slow down the TPN infusion.
d. Assess the client's blood sugar.
D
Dry mouth, frequent urination, and blurred vision all are symptoms of hyperglycemia, a potential complication of TPN infusion. The nurse should assess the client's blood sugar level. Weighing the client and checking vital signs will not help with assessment of hyperglycemia. The nurse should obtain an order from the provider to slow the TPN solution.
You might also like to view...
A mother trying to understand karyotyping for Down syndrome, trisomy 21, asks the nurse, "What does a karyotype of a normal cell nucleus show?" You would inform her that a karyotype shows a representation of all ___________ chromosomes that a
normal cell nucleus contains. Fill in the blank(s) with correct word
A client tells a nurse, "My discharge plan is too complicated! I'll never remember everything I'm supposed to do." To facilitate the client's learning, the nurse concludes the focus needs to be placed on:
a. maturation c. readiness to learn b. organization d. participation
The nurse is describing the role of the pharmacist in medication administration. Which of the following are correct? (Select all that apply.)
a. Assess the medication plan. b. Review the orders for accuracy and valid-ity. c. Prepare the correct medication. d. Deliver them to the nursing unit. e. Independently adjust incorrect medication errors.
Elderly patients have _______risk for psychiatric disorders compared to younger people.
A) The same B) An increased C) No D) A decreased