Final answer:
The nurse should report a glucose level of 238 mg/dL to the provider due to hyperglycemia.
Step-by-step explanation:
The nurse should report a glucose level of 238 mg/dL to the provider. This is because a glucose level above the normal range indicates hyperglycemia, which can be a sign of an issue with the total parenteral nutrition. The normal range for blood glucose is typically around 70-110 mg/dL.