A nurse is assessing a client and discovers the infusion pump with the client’s total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

Choice A reason: TPN contains high dextrose, and abrupt cessation risks hypoglycemia, causing shakiness and diaphoresis due to low blood glucose triggering sympathetic responses. Monitoring for these signs is critical, as TPN-dependent clients rely on continuous glucose, making this the correct choice. Choice B reason: Fever and chills suggest infection, possibly from a contaminated TPN line, but are not immediate concerns of a non-infusing pump. Hypoglycemia is the primary risk of infusion failure, making this choice less relevant. Choice C reason: Hypertension and crackles indicate fluid overload, not directly related to TPN infusion failure. TPN cessation causes hypoglycemia, not fluid shifts, making this choice incorrect for the immediate condition to monitor. Choice D reason: Excessive thirst and urination are symptoms of hyperglycemia, not TPN infusion failure. Stopping TPN risks hypoglycemia due to high dextrose content, not high glucose levels, making this choice incorrect.