A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)
Explanation & Rationale
A. Verify the solution with another RN prior to infusion: To ensure patient safety, the TPN solution should be verified by two licensed healthcare providers before infusion. This helps prevent errors in administering the incorrect solution. B. Monitor serum blood glucose during infusion: TPN contains high concentrations of glucose, which can lead to hyperglycemia. Monitoring blood glucose levels is essential to prevent complications such as hyperglycemia or hypoglycemia. C. Increase the rate of infusion if the solution is delayed: The rate of infusion should not be increased to make up for a delayed start, as rapid infusion can lead to fluid overload or metabolic disturbances. The infusion rate should be adjusted based on medical guidelines and the provider's orders. D. Infuse 0.9% sodium chloride if the solution is not available: If TPN is unavailable, the client should not receive just sodium chloride, as TPN is a complete nutrition solution. Alternative methods should be discussed with the healthcare provider, and the client should not be left without the required nutritional support. E. Obtain the client's weight daily: Daily weight measurements are crucial to monitor fluid status and nutritional intake, especially when the client is receiving TPN, to ensure that the client is maintaining proper nutritional balance and avoiding complications like fluid retention.