A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home.
Which of the following instructions should the nurse include? (Select all that apply.)

Choice A rationale

Hypokalemia is a potential concern with diuretic therapy, but not with hypertonic saline solution (3% NaCl) administration for hyponatremia.

Choice B rationale

Hypovolemia is less likely to occur with hypertonic saline infusion. The main concern is overcorrection leading to fluid overload.

Choice C rationale

Fluid overload is a significant risk when administering hypertonic saline (3% NaCl). Nurses should closely monitor for signs of fluid overload, such as edema, crackles in the lungs, and increased blood pressure.

Choice D rationale

Hypernatremia is a possible complication of hypertonic saline administration, but it is not as immediate a concern as fluid overload. Monitoring for fluid overload should take precedence.

Choice A rationale

The inability to locate a dorsalis pedis pulse and increasing pain indicate compromised circulation, which requires immediate attention to prevent complications.

Choice B rationale

Pain relieved after administering medication indicates effective pain management, which is not an urgent issue to report immediately.

Choice C rationale

Generalized weakness and increasing sensitivity to touch can be concerning but are not as urgent as signs of compromised circulation.

Choice D rationale

Localized edema and discoloration are expected findings in a fracture and are not as urgent as an absent pulse. .