Mrs C., a 28-year-old florist, has been unable to eat due to severe vomiting related to her pregnancy. She is at 13 weeks’ gestation and has been admitted to the hospital because of dehydration and...

Mrs C., a 28-year-old florist, has been unable to eat due to severe vomiting related to her pregnancy. She is at 13 weeks’ gestation and has been admitted to the hospital because of dehydration and inability to eat due to her severe nausea and vomiting. The decision has been made to give her total parenteral nutrition (TPN) for at least 1 week. After 1 week of therapy, her obstetrician will then decide whether to continue or stop the infusion, based on her response. She will be receiving the TPN infusion via a peripheral intravenous catheter with infusion bags that will be changed every 24 hours. 1. Mrs. C. is anxious about this infusion and asks the nurse, “Why is that bag so large? What is in the bag?” How will the nurse answer these questions? 2. The nurse explains to Mrs. C. that her blood glucose levels will need to be monitored while she is receiving the TPN. Mrs. C. begins to cry, saying, “This morning sickness is bad enough, but now I have diabetes too? How can that be?” What is the nurse’s best response? 3. The nurse will monitor for what potential complication that can occur with peripherally administered TPN? 4. Before beginning the infusion, the nurse checks the ingredients of the TPN bag. The nurse notices that one of the contents is listed as 20% dextrose. Will the nurse add this bag to the patient’s infusion? Explain your answer.