A client with a critical illness is prescribed parenteral nutrition. Which action should the nurse take when caring for this client?
a. Decrease the amount of infusion slowly based on the oral intake of the client
b. Stop the infusion in the morning and resume oral feeding beginning with clear liquids
c. Follow the facility protocol for tapering the solution, especially monitoring blood glucose levels
d. Follow the facility protocol for tapering the infusion and monitor the input and output for the client each shift
c. Follow the facility protocol for tapering the solution, especially monitoring blood glucose levels
Each facility has a protocol or policy for tapering parenteral nutrition that must be followed closely. Parenteral nutrition must be tapered slowly since sudden cessation of high dextrose solutions can lead to hypoglycemia which can be life-threatening. Careful monitoring of blood glucose levels is important. Parenteral nutrition should never be abruptly stopped.
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