NCLEX-RN Quiz
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PHYSIOLOGICAL INTEGRITY
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A 64-year-old client with a history of heart failure is receiving TPN via central line after bowel surgery. The TPN (dextrose 20%, amino acids 5%, electrolytes) is infusing at 95 mL/hr. Assessment: new crackles in both lung bases, oxygen saturation 90% on 2 L nasal cannula, jugular venous distention, and weight gain of 1.8 kg (4 lb) in 24 hours; urine output is 25 mL/hr. What is the nurse's PRIORITY action for a client receiving TPN?
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