The client is being treated with total parenteral nutrition. She is experiencing cough, dyspnea, neck vein engorgement, chest rales, and weight gain. These symptoms most likely are the result of:

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The client being treated with TPN who is also experiencing cough, dyspnea, neck vein engorgement, chest rales, and weight gain is most likely to be experiencing fluid overload.

The Client Is Being Treated with Total Parenteral Nutrition