A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse plan to take?

Rationale:

A. Constipation: Constipation is not a direct concern related to the discontinuation of TPN. It may occur for other reasons, such as changes in diet or bowel function, but it is not specifically linked to gradually discontinuing TPN.

B. Hyperglycemia: Hyperglycemia can occur when starting TPN therapy due to the high glucose content, but it is not a concern when discontinuing TPN. Gradual discontinuation helps to prevent hypoglycemia rather than hyperglycemia.

C. Hypoglycemia: Hypoglycemia is the major concern when discontinuing TPN. TPN provides a continuous supply of glucose, and abrupt discontinuation can cause a sudden drop in blood sugar levels. Gradual tapering of the TPN allows the body to adjust and reduces the risk of hypoglycemia.

D. Diarrhea: Diarrhea is not typically an adverse effect related to the discontinuation of TPN. If diarrhea occurs, it may be related to other causes, such as changes in diet or the introduction of enteral feeding.

Rationale:

A. Limit engaging in sport activities that can cause bruising: While it's important to avoid activities that increase the risk of injury, this is not a specific related to radiation therapy. The nurse should focus on such as avoiding infection or exposure to certain environments.

B. Limit socializing in large crowds: This is an important for clients undergoing radiation therapy, especially if their immune system is compromised. Socializing in large crowds increases the risk of exposure to infections..

C. Decrease intake of fresh fruits or vegetables: While radiation therapy can affect the immune system, it doesn't typically cause the level of systemic neutropenia that would warrant this strict dietary restriction unless combined with other treatments.

D. Decrease time spent outdoors: Decreasing time spent outdoors is not a standard recommendation for clients undergoing radiation therapy unless they are directly exposed to the sun. Clients should protect their skin from sun exposure but should not avoid outdoor activities altogether.