{"id":3869,"date":"2024-06-12T12:17:00","date_gmt":"2024-06-12T12:17:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=3869"},"modified":"2026-03-20T13:50:44","modified_gmt":"2026-03-20T21:50:44","slug":"nclex-qotd-tpn","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tpn","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Total Parenteral Nutrition (TPN)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tpn\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tpn\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tpn\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Test your knowledge with this NCLEX Question of the Day! Discover why evaluating glucose levels first is essential to prevent complications.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse notes the pharmacy is late sending up a dose of total parenteral nutrition (TPN) for a client who has been receiving it for several months. Which action should the nurse take\u00a0<em>first<\/em>?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Assess the client for symptoms of jaundice<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Evaluate the client\u2019s glucose level<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Assess the client\u2019s temperature<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Prepare to administer a potassium supplement<\/strong>Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.\u00a0Evaluate the client\u2019s glucose level<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Any abrupt discontinuation or delay in administering parenteral nutrition can increase the risk of rapid onset of hypoglycemia. Therefore, the nurse should check the client\u2019s glucose level first since hypoglycemia can lead to altered mental status, coma, seizures, and death.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Parenteral nutrition is considered a high-risk medication because the consequences of improper delivery can lead to serious complications like hyperglycemia or fluid and electrolyte imbalances. Clients receiving parenteral nutrition often have a prescription for electrolyte testing at least daily and glucose testing every 4 hours. The nurse should also verify the infusion rate to avoid overfeeding, which occurs when nutrients are delivered faster than the body can handle. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Any abrupt discontinuation or delay in administering parenteral nutrition should be avoided because this increases the risk of a rapid onset of hypoglycemia. Clients who receive parenteral nutrition are also at an increased risk of infection, so be sure to monitor for redness, pain, and warmth at the intravenous (IV) insertion site or systemic indications of infection like fever, chills, or altered mental status. Clients who receive parenteral nutrition for long periods are at a higher risk for conditions like cholestasis, gallbladder inflammation, and liver disease, so the nurse should monitor them for symptoms of these conditions, such as right upper quadrant pain, pruritus or itching, and jaundice which is a yellowish discoloration of the skin and mucous membranes.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"710\" height=\"724\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nursing-implications.png\" alt=\"NURSING IMPLICATIONS\nImproper delivery can lead to:\n- Hyperglycemia\n- Fluid &amp; electrolyte imbalances\nTesting\n- Electrolyte: at least daily\n- Glucose: every 4 hours\n\nNURSING IMPLICATIONS\nVerify rate of infusion: Avoid overfeeding\nAvoid abrupt discontinuation or delay in administration: Increased risk of rapid onset of hypoglycemia\" class=\"wp-image-3871\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nursing-implications.png 710w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nursing-implications.png?resize=294,300 294w\" sizes=\"auto, (max-width: 710px) 100vw, 710px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Assess the client for symptoms of jaundice<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;Clients who receive parenteral nutrition for long periods are at a higher risk for liver disease which is associated with the development of jaundice; however, there is another action that takes priority.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Assess the client\u2019s temperature<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Clients receiving parenteral nutrition are at risk for infection; however, assessing the client\u2019s temperature is not the highest nursing priority.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Prepare to administer a potassium supplement<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:\u00a0<\/strong>Parenteral nutrition is considered a high-risk medication because the consequences of improper delivery can lead to serious complications like electrolyte imbalances. However, the nurse should check the client\u2019s electrolyte levels prior to administering supplements. Therefore, another action should be performed instead.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?w=904\" alt=\"\" class=\"wp-image-3807\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Test your knowledge with this NCLEX Question of the Day! Discover why evaluating glucose levels first is essential to prevent complications. The nurse notes the pharmacy is late sending up a dose of total parenteral nutrition (TPN) for a client who has been receiving it for several months. Which action should the nurse take\u00a0first? A. [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":3870,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-3869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Total Parenteral Nutrition (TPN) - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tpn\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Total Parenteral Nutrition (TPN) - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Test your knowledge with this NCLEX Question of the Day! Discover why evaluating glucose levels first is essential to prevent complications. The nurse notes the pharmacy is late sending up a dose of total parenteral nutrition (TPN) for a client who has been receiving it for several months. Which action should the nurse take\u00a0first? A. 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