💊 NCLEX-RN Exam Prep

Nursing care for a patient receiving total parenteral nutrition includes monitoring:

A Only weight
B Blood glucose every 4-6 hours, electrolytes, liver function, and line site for infection signs
C Oral intake only
D Only urine output

✓ Correct Answer: Option B

TPN monitoring: BG q4-6h (hyperglycemia from dextrose), electrolytes (especially K, Mg, Phos), LFTs (hepatic complications), daily weights, I&O, line site assessment (infection risk). Use dedicated central line lumen. Filter lipids separately. Taper to prevent rebound hypoglycemia.

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