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?

Rationale: A. "I will obtain the client's weight every other day.": Clients receiving TPN require daily weight monitoring to evaluate fluid balance and nutritional effectiveness. Monitoring every other day may delay detection of complications such as fluid overload or inadequate nutrition. B. "I will monitor the client's blood glucose level every 8 hours.": Blood glucose levels should typically be monitored every 4 to 6 hours, especially during initiation or rate adjustments of TPN. Longer intervals may miss signs of hyperglycemia, a common complication of TPN. C. "I will hang a new bag of TPN and IV tubing every 24 hours.": Changing the TPN solution and tubing every 24 hours is standard protocol to prevent catheter-related bloodstream infections. TPN solutions are high in glucose, which can promote microbial growth if not properly managed. D. "I will increase the rate of the TPN infusion to ensure the correct amount is given.”: The TPN infusion rate must never be adjusted without a provider’s order. Altering the rate can lead to serious complications such as hyperglycemia, electrolyte imbalance, or fluid overload.