The nurse is administering total parenteral nutrition (TPN) to a client who underwent surgery for gastric cancer. Which of the nurse's assessments most directly addresses a major complication of TPN?
A) Checking the patient's capillary blood glucose levels regularly
B) Having the patient frequently rate his or her hunger on a 10-point scale
C) Measuring the patient's heart rhythm at least every 6 hours
D) Monitoring the patient's level of consciousness each shift
Ans: A
Feedback:
The solution, used as a base for most TPN, consists of a high dextrose concentration and may raise blood glucose levels significantly, resulting in hyperglycemia. This is a more salient threat than hunger, though this should be addressed. Dysrhythmias and decreased LOC are not among the most common complications.
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