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    RN Comprehensive Predictor 2023 Proctored Exam

    A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure?

    Explanation & Rationale

    A. I will obtain the client’s weight every other day. Monitoring weight every other day is insufficient for clients on TPN, as daily weight measurements are needed to closely monitor fluid balance and nutritional status. B. I will monitor the client’s blood glucose level every 8 hours: Blood glucose monitoring for clients on TPN should occur every 4 to 6 hours due to the high glucose content in TPN, which can cause rapid fluctuations in blood sugar levels. C. I will increase the rate of the TPN infusion to ensure the correct amount is given: The infusion rate should never be increased without a provider’s order because abrupt changes can lead to serious complications such as hyperglycemia, fluid overload, or electrolyte imbalances. D. I will hang a new bag of TPN and IV tubing every 24 hours: TPN bags and tubing must be changed every 24 hours to reduce the risk of infection and maintain sterility, reflecting a correct understanding of proper TPN care.

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