A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

A. Hang the TPN solution to gravity to infuse: TPN solutions are typically administered using an infusion pump to control the rate of infusion accurately. Hanging the solution to gravity is not recommended because it may lead to inconsistent flow rates and inaccurate delivery of nutrients.
B. Titrate TPN solution to blood pressure: TPN solutions are not titrated based on blood pressure.

The composition and rate of TPN infusion are typically determined by the client's nutritional needs and metabolic status, not blood pressure.

C. Monitor the client's weight daily: Monitoring the client's weight daily is essential when administering TPN to assess for fluid balance, nutritional status, and response to therapy. Changes in weight can indicate fluid retention, dehydration, or changes in nutritional status, which may require adjustments to the TPN regimen.
D. Obtain the client's blood glucose level weekly: Blood glucose levels should be monitored frequently in clients receiving TPN, as hyperglycemia is a common complication. Weekly monitoring may not be sufficient to detect and manage hyperglycemia promptly. Therefore,
blood glucose levels are typically monitored more frequently, such as multiple times daily or according to institutional protocols.

A. Leg tenderness: Leg tenderness can be a sign of deep vein thrombosis (DVT), a rare but serious complication associated with oral contraceptives. Therefore, the nurse should report this finding immediately for further evaluation and management to prevent complications such as pulmonary embolism.

B. Cramps: Mild cramps are a common side effect of oral contraceptives and do not typically require immediate reporting unless they are severe or persistent.
C. Nausea: Nausea is a common side effect of oral contraceptives, especially during the initial weeks of use. It usually improves over time and does not typically require immediate reporting unless it is severe or persistent.
D. Abdominal bloating: Abdominal bloating is a common side effect of oral contraceptives and is usually mild and self-limiting. It does not typically require immediate reporting unless it is severe or persistent.