NCLEX-PN

Category - Pharmacological Therapies

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A nurse is monitoring a client who is receiving total parenteral nutrition. Which of the following assessment findings indicates that the client’s blood sugar is increasing?

Cold and clammy skin
Increased urine output
Tremors
Nervousness

Explanation

Answer: B - A client who is experiencing hyperglycemia often manifests increased urination and increased thirst. Cold and clammy skin, tremors, and nervousness are signs of hypoglycemia. A TPN solution contains glucose and once the rate of infusion of the TPN exceeds the rate of glucose metabolism, hyperglycemia occurs.

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