Question

3. A client is receiving TPN. As the nurse, what potential

complications will you watch for? List 2-3 and provide
rationale.

Answer 1

A nurse should monitor for infections at the catheter site, hyperglycemia due to high glucose content in TPN, and electrolyte imbalances when a client is on TPN therapy.

Step-by-step explanation:

When monitoring a client who is receiving Total Parenteral Nutrition (TPN), a nurse should watch for several potential complications. Some of these complications include:

• Infection: Since TPN involves the use of a central line, there is a high risk of infection at the catheter insertion site. A nurse must observe for any signs of redness, swelling, or discharge which could indicate an infection.
• Hyperglycemia: TPN solutions are high in glucose, which can cause blood sugar levels to become elevated. Monitoring blood glucose levels regularly is important to detect and manage this potential complication.
• Electrolyte imbalances: TPN can also result in electrolyte imbalances due to the changes in fluid and electrolyte intake. Nurses need to monitor the patient's electrolyte levels and watch for signs of imbalance such as changes in heart rhythm or muscle weakness.