Difficulty: Medium
Average Score: 72%
Simulated
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a central venous catheter. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Check the client's blood glucose level every 4 hr. This is important because TPN can significantly impact blood glucose levels, leading to hyperglycemia or hypoglycemia. Monitoring every 4 hours allows for timely adjustments in TPN infusion rate or insulin administration. Option B is incorrect as changing IV tubing every 72 hours is not specific to TPN administration. Option C is incorrect because TPN should be administered at a prescribed rate, not a constant rate. Option D is incorrect as monitoring weight monthly is not sufficient for assessing TPN effectiveness or safety.