MEDizzy - The nurse obtains a finger-stick glucose of 400 mg/dL (22.85

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The nurse obtains a finger-stick glucose of 400 mg/dL (22.85 mmol/L) for a client who receives total parenteral nutrition (TPN). Which follow-up intervention should the nurse implement?

ExplanationHyperglycemia is a complication associated with the administration of TPN because the base solution of TPN is 10% to 20% glucose in water. This client’s capillary glucose is very high, and the hyperglycemia increases the risk of intravascular injury and hyperosmolar crisis. The nurse should not discontinue the infusion, decrease the rate, or replace the solution without a primary health care provider ’s prescription. Additionally these actions would not resolve the problem.