QuestionJuly 14, 2025

The nurse is caring for a client who is receiving total parenteral nutrition (TPN). The client has a past medical history of diabetes mellitus (type 2) hypertension, heart failure and chronic kidney disease. The client exhibits the laboratory findings listed in the table below }(c) Laboratory Test & Previous Result & Current Result Potassium & 3.4 mathrm(mEg) / mathrm(L) & 3.8 mathrm(mEg) / mathrm(L) Creatinine & 2.8 mathrm(mg) / mathrm(dL) & 2.6 mathrm(mg) / mathrm(dL) Glucose & 174 mathrm(mg) / mathrm(dL) & 202 mathrm(mg) / mathrm(dL) Sodium & 132 mathrm(mEg) / mathrm(L) & 136 mathrm(mEg) / mathrm(L) BNP & 288 mathrm(pg) / mathrm(mL) & 224 mathrm(pg) / mathrm(mL) Complete the following sentence by using the list of options below. The nurse anticipates that the client is most likely experiencing __ Option 1 __ and initiates Option 2 Option 1 & Option 2 }(l) 1. Fingersick blood glucose checks every 4-6 hours. 2. Administration of](fluorose) & 2. Administration of(fluorose)

The nurse is caring for a client who is receiving total parenteral nutrition (TPN). The client has a past medical history of diabetes mellitus (type 2) hypertension, heart failure and chronic kidney disease. The client exhibits the laboratory findings listed in the table below }(c) Laboratory Test & Previous Result & Current Result Potassium & 3.4 mathrm(mEg) / mathrm(L) & 3.8 mathrm(mEg) / mathrm(L) Creatinine & 2.8 mathrm(mg) / mathrm(dL) & 2.6 mathrm(mg) / mathrm(dL) Glucose & 174 mathrm(mg) / mathrm(dL) & 202 mathrm(mg) / mathrm(dL) Sodium & 132 mathrm(mEg) / mathrm(L) & 136 mathrm(mEg) / mathrm(L) BNP & 288 mathrm(pg) / mathrm(mL) & 224 mathrm(pg) / mathrm(mL) Complete the following sentence by using the list of options below. The nurse anticipates that the client is most likely experiencing __ Option 1 __ and initiates Option 2 Option 1 & Option 2 }(l) 1. Fingersick blood glucose checks every 4-6 hours. 2. Administration of](fluorose) & 2. Administration of(fluorose)
The nurse is caring for a client who is receiving total parenteral nutrition (TPN). The client has a past medical history of diabetes mellitus (type 2) hypertension, heart failure and chronic kidney disease. The client exhibits the laboratory findings listed in the table below }(c) Laboratory Test & Previous Result & Current Result Potassium & 3.4 mathrm(mEg) / mathrm(L) & 3.8 mathrm(mEg) / mathrm(L) Creatinine & 2.8 mathrm(mg) / mathrm(dL) & 2.6 mathrm(mg) / mathrm(dL) Glucose & 174 mathrm(mg) / mathrm(dL) & 202 mathrm(mg) / mathrm(dL) Sodium & 132 mathrm(mEg) / mathrm(L) & 136 mathrm(mEg) / mathrm(L) BNP & 288 mathrm(pg) / mathrm(mL) & 224 mathrm(pg) / mathrm(mL) Complete the following sentence by using the list of options below. The nurse anticipates that the client is most likely experiencing __ Option 1 __ and initiates Option 2 Option 1 & Option 2 }(l) 1. Fingersick blood glucose checks every 4-6 hours. 2. Administration of](fluorose) & 2. Administration of(fluorose)

Solution
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Answer

The nurse anticipates that the client is most likely experiencing hyperglycemia and initiates fingerstick blood glucose monitoring. Explanation 1. Analyze Laboratory Findings Compare current and previous lab results. Note significant changes in glucose levels (174 to 202 mg/dL) indicating hyperglycemia. 2. Determine Client's Condition Hyperglycemia is likely due to increased glucose levels, common in clients receiving TPN, especially with a history of diabetes mellitus. 3. Identify Appropriate Intervention Initiate fingerstick blood glucose monitoring to manage and monitor hyperglycemia effectively.

Explanation

1. Analyze Laboratory Findings<br /> Compare current and previous lab results. Note significant changes in glucose levels (174 to 202 mg/dL) indicating hyperglycemia.<br /><br />2. Determine Client's Condition<br /> Hyperglycemia is likely due to increased glucose levels, common in clients receiving TPN, especially with a history of diabetes mellitus.<br /><br />3. Identify Appropriate Intervention<br /> Initiate fingerstick blood glucose monitoring to manage and monitor hyperglycemia effectively.
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