TPN Management and Hyperglycemia

Hard Pharmacological And Parenteral Therapies Total Parenteral Nutrition

A 45-year-old patient with Crohn's disease is being initiated on Total Parenteral Nutrition (TPN) due to malabsorption and significant weight loss. During the first week of TPN, the nurse observes that the patient is experiencing elevated blood glucose levels. The healthcare provider orders an adjustment to the TPN solution. Which of the following actions should the nurse prioritize in response to this order?

Decrease the dextrose concentration in the TPN solution.

Administer insulin as needed, according to the sliding scale.

Increase the rate of the infusion to decrease blood glucose levels.

Notify the healthcare provider of the occurrence of hyperglycemia.

Hint

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