Total parenteral nutrition (TPN)with a peripherally inserted central catheter is initiated for a patient who has tar burns and multiple fractures from a roofing accident.After 6 hours of TPN infusion,the nurse checks the patient's capillary blood glucose level and finds it to be 8.9 mmol/L (160 mg/dL).What is the most appropriate nursing action?

Question

Quizplus · Accepted Answer

Rechecking the capillary blood glucose in 4 hours is appropriate because a blood glucose level of 8.9 mmol/L (160 mg/dL) is slightly elevated but not uncommon in patients starting TPN, and it may stabilize with time. Immediate adjustments or physician notification may not be necessary unless the levels are significantly higher or other symptoms are present.

Total Parenteral Nutrition (TPN)with a Peripherally Inserted Central Catheter Is