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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The bag has 20 mL remaining to infuse, but a new bag is not readily available. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. TPN contains high concentrations of glucose. If TPN is stopped abruptly, the client is at risk for hypoglycemia. Dextrose 10% in water (D10W) is used as a temporary replacement to maintain blood glucose levels. B. Lactated Ringer's solution does not provide the necessary glucose to prevent hypoglycemia. C. Slowing the TPN rate could disrupt metabolic balance and is not a safe alternative. D. Temporarily stopping the infusion could lead to dangerous hypoglycemia.

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