The nurse is assisting with the care of a patient who has total parenteral nutrition (TPN) containing dextrose 50% infusing. The patient asks why the rate keeps being increased. Which of the follow-ing statements, by the nurse, is best?
a. "It is important to increase the TPN when-ever your blood sugar is low."
b. "It is started slowly and increased slowly to allow your pancreas to adjust insulin lev-els."
c. "By changing the rate, it helps your body increase absorption of the electrolytes."
d. "It is important to do this to help reduce bile secretion and prevent heartburn."
ANS: B
TPN is started slowly to give the pancreas time to adjust to increasing insulin production for the high amounts of glucose in the TPN.
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