medium · NCLEX-RN pharmacology
During the third day of TPN therapy, a client's capillary glucose is 242 mg/dL. The client has no history of diabetes.
What is the most likely pathophysiologic mechanism for this finding?
- Abrupt cessation of the infusion has triggered rebound glycogenolysis.
- The TPN bag was infused too slowly, causing a compensatory hepatic glucose release.
- The high-dextrose load of the PN exceeds the client's current endogenous insulin capacity.
- The client is experiencing the Somogyi effect due to overnight infusion, for this client.
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