A patient receiving total parenteral nutrition has a blood glucose level of 14 mmol/L. Which nursing action is most appropriate?
Correct answer: B. Report the result and follow the prescribed glucose management plan
- A. Stop the infusion immediately and leave the line empty
- B. Report the result and follow the prescribed glucose management plan
- C. Add insulin directly to the parenteral nutrition bag
- D. Replace the solution with plain intravenous water
Explanation
Hyperglycaemia is a possible complication of parenteral nutrition and should be reported for assessment and prescribed treatment. Abruptly stopping the infusion can cause hypoglycaemia, and nurses should not independently add insulin or replace the solution.
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About Nutrition, Fluids and Electrolytes
Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.
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50 free Nutrition, Fluids and Electrolytes MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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