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. Verifying the TPN solution with another RN is a safety protocol to ensure the correct solution and dosage, as TPN contains high concentrations of nutrients and electrolytes. B. Monitoring serum blood glucose is essential, as TPN contains dextrose and can cause hyperglycemia or hypoglycemia. C. Increasing the rate of infusion to make up for delays is unsafe and can lead to fluid and electrolyte imbalances or hyperglycemia. TPN should be infused at a constant prescribed rate. D. Infusing 0.9% sodium chloride as a substitute is inappropriate. If TPN is temporarily unavailable, 10% or 20% dextrose in water should be used to prevent hypoglycemia. E. Daily weight monitoring helps assess fluid balance and nutritional status, making it an appropriate nursing action during TPN therapy.