MEDizzy - A client who is receiving total parenteral nutrition (TPN)

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Psychosocial Integrity

A client who is receiving total parenteral nutrition (TPN) tells the nurse, “I’m not sure that I want to receive an infusion of lipids because it could make me obese.” Which initial action should the nurse take?

ExplanationA client who receives TPN is at risk for developing an essential fatty acid deficiency; however, this client’s comment requires more than a simple informational response initially. Thus, the nurse responds with option 1 to assist the client with self-expression and to deal with aspects of illness and treatment. Option 2 delays client self-expression and devalues the client’s feelings. Options 3 and 4 provide information only.