Question

a nurse is assisting with the care of a client who is receiving total parenteral nutrition (tpn) and has just returned to the room following physical therapy. the nurse notes that the infusion pump for the clients tpn is turned off. after restarting the infusion pump, the nurse should monitor the client for which of the following findings?
a. hypertension
b. excessive thirst
c. fever
d. diaphoresis

Explanation:

Total parenteral nutrition (TPN) contains high concentrations of glucose. When the infusion is interrupted and restarted, rapid re-administration can cause hyperglycemia. Excessive thirst is a key clinical sign of hyperglycemia, as the body attempts to compensate for elevated blood glucose levels by increasing fluid intake. Hypertension, fever, and diaphoresis are not the primary immediate concerns related to restarting TPN after an interruption.

Answer:

B. Excessive thirst