A client receiving parenteral nutrition has an increased pulse and pale, cool, clammy skin. Which intervention will the nurse perform?

Question

1. Check blood glucose levels.
2. Administer insulin coverage.
3. Increase the parenteral nutrition infusion rate.
4. Stop the parenteral nutrition infusion.

Answer 1

Correct Answer: 1
Rationale 1: Blood glucose levels should be checked because the signs exhibited by the client are associated with hypoglycemia or excess insulin.
Rationale 2: The signs exhibited by the client are associated with hypoglycemia, so insulin should not be administered.
Rationale 3: Parenteral nutrition infusion rates are based on the nutrition goal to be achieved within an established timeframe. Increasing the infusion rate is not indicated.
Rationale 4: Parenteral nutrition should not be discontinued abruptly, because it can result in hypoglycemia.
Global Rationale: Blood glucose levels should be checked because the signs exhibited by the client are associated with hypoglycemia or excess insulin. Parenteral nutrition infusion rates are based on the nutrition goal to be achieved within an established timeframe. Increasing the infusion rate is not indicated. Parenteral nutrition should not be discontinued abruptly, because it can result in hypoglycemia.