Question

A nurse is reviewing the laboratory results of a client who is receiving continuous total parenteral nutrition. Which of the following results should the nurse report to the provider?

A) Increased blood glucose levels
B) Elevated serum albumin levels
C) Decreased white blood cell count
D) Elevated blood urea nitrogen (BUN)

Answer 1

The nurse should report an increased blood glucose level in a client receiving continuous total parenteral nutrition (TPN).

Step-by-step explanation:

The nurse should report to the provider an increased blood glucose level in a client receiving continuous total parenteral nutrition (TPN).

TPN is a method of providing nutrients to patients who cannot eat or absorb enough nutrients through their gastrointestinal tract. It typically contains a high concentration of glucose to meet the body's energy needs.

An elevated blood glucose level in a client receiving TPN could indicate poor glycemic control and the need for adjustments in the TPN solution's composition or administration.

Answer 2

The nurse should report the elevated blood urea nitrogen (BUN) level to the provider as it is an indicator of kidney function and can indicate kidney disorders or renal uremia.

Step-by-step explanation:

The nurse should report the elevated blood urea nitrogen (BUN) level to the provider. BUN is an indicator of kidney function, and an increased level can indicate kidney disorders or renal uremia. It is important to monitor BUN levels in clients receiving continuous total parenteral nutrition to assess renal function and ensure proper management of the client's condition.