NCLEX-RN (Registered Nurse) Practice Exam · Question
A client is receiving total parenteral nutrition (TPN). Which assessment finding requires immediate nursing intervention?
Fever in a client receiving TPN can indicate an infection, possibly a central line-associated bloodstream infection (CLABSI), which is a serious complication. T
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Question: A client is receiving total parenteral nutrition (TPN). Which assessment finding requires immediate nursing intervention?
Answer options:
- Blood glucose of 6.2 mmol/L ✅ Fever of 38.8 C (101.8 F)
- Weight gain of 0.5 kg in 24 hours
- Urine output of 45 mL/hour
Correct answer: Fever of 38.8 C (101.8 F)
Explanation: Fever in a client receiving TPN can indicate an infection, possibly a central line-associated bloodstream infection (CLABSI), which is a serious complication. This requires immediate investigation and intervention.
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