Practice Question
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). For which of the following findings should the nurse monitor as a potential complication of TPN?
Answer Choices:
Correct Answer:
Electrolyte imbalance
Rationale:
🔹 Total Parenteral Nutrition (TPN) is a highly concentrated solution of glucose, amino acids, electrolytes, vitamins, and lipids delivered directly into the bloodstream via a central line.
🔹 Because it bypasses normal digestion and absorption, there is a high risk of electrolyte imbalances (such as hypokalemia, hypophosphatemia, or hypomagnesemia), especially during initiation or adjustment of therapy.
🔹 The nurse must monitor daily labs (electrolytes, glucose, liver and renal function tests) to prevent complications.
🔹 Constipation, respiratory depression, and hypotension are not typical complications of TPN, but hyperglycemia, infection, and fluid/electrolyte disturbances are common concerns.
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This question is from Predictor Assessment (September 2025) which contains 184 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2025
- Answer Choices: 4