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TPN Care And Metabolic Monitoring Practice Test
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Q1
A 33-year-old client on home TPN for malabsorption (history of ulcerative colitis with colectomy) infuses 1,800 mL over 10 hours nightly via central line (dextrose 18%, amino acids 5%, electrolytes, vitamins). The client reports the pump alarmed overnight, so the client turned it off for several hours and then restarted it at a faster rate to “catch up.” Morning blood glucose is 54 mg/dL (3.0 mmol/L) with diaphoresis. What is the nurse's PRIORITY action for a client receiving TPN?
A 33-year-old client on home TPN for malabsorption (history of ulcerative colitis with colectomy) infuses 1,800 mL over 10 hours nightly via central line (dextrose 18%, amino acids 5%, electrolytes, vitamins). The client reports the pump alarmed overnight, so the client turned it off for several hours and then restarted it at a faster rate to “catch up.” Morning blood glucose is 54 mg/dL (3.0 mmol/L) with diaphoresis. What is the nurse's PRIORITY action for a client receiving TPN?