The nurse is caring for a patient who is receiving total parenteral nutrition (TPN). The patient reports nausea, headache, and thirst. The nurse will contact the provider to discuss
a. giving acetaminophen for headache pain.
b. obtaining a serum glucose level.
c. ordering an antiemetic to prevent vomiting.
d. starting intravenous isotonic dextrose.
ANS: B
This patient shows signs of hyperglycemia, which is a common adverse effect of TPN. The nurse should request an order for serum glucose. Symptoms should not be treated without first determining the underlying cause. Isotonic dextrose is given to prevent hypoglycemia.
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