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What is the most likely explanation for this order? A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin.

This question is part of NCLEX RN Practice Questions 15 (Exam Mode) by RNpedia.com
Asked by RN pedia, Last updated: Sep 10, 2020

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Answered Apr 15, 2019

Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

Total Parenteral Nutrition is a high-glucose solution. This therapy often causes the glucose levels to be elevated. Because this is a common complication, insulin might be ordered. Answers A, B, and D are incorrect. TPN is used to treat negative nitrogen balance; it will not lead to negative nitrogen balance. Total Parenteral Nutrition can be managed with oral hypoglycemic drugs, but it is difficult to do so. Total Parenteral Nutrition will not lead to further pancreatic disease.
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