What tests should a nurse perform every 6 hours on a patient receiving TPN?

Prepare for the Mark Klimek Blue Book Part 1 Exam. Study with multiple choice questions, flashcards, and comprehensive explanations. Get ready for your nursing exam!

The selection of Accu check and urine glucose/acetone as tests to be performed every 6 hours on a patient receiving Total Parenteral Nutrition (TPN) is crucial for managing the risks associated with this form of nutrition. TPN provides essential nutrients directly into the bloodstream when a patient cannot eat or absorb food through the digestive tract.

Monitoring blood glucose levels (Accu checks) is vital because TPN solutions are typically high in carbohydrates, which can lead to hyperglycemia (high blood sugar levels). Regular checking helps ensure that blood sugar levels remain within the target range, allowing for timely adjustments to insulin therapy if necessary.

Additionally, testing urine for glucose and acetone is important to identify any possible complications like glycosuria (glucose in the urine) or ketonuria (acetone in the urine), which may indicate that the body is not effectively managing blood sugar levels or is in a state of ketoacidosis. These tests help in early detection of metabolic complications associated with TPN.

The other choices involve tests that, while important in different clinical scenarios, do not address the immediate metabolic monitoring needs that come with TPN therapy. Full blood counts, liver function tests, serum electrolytes, and urine output are also essential

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