Difficulty: Medium
Average Score: 88%
Simulated
A client receiving TPN reports sudden chest pain and dyspnea. Which action should the nurse take first?
Correct answer
C
Rationale
Sudden chest pain and dyspnea in a client receiving TPN may indicate a serious complication like an air embolism or infection, requiring immediate physician notification. Stopping the infusion or checking glucose is premature, and oxygen requires an order. CN: Physiological adaptation; CL: Synthesize