What is the priority assessment for a client who has started Total Parenteral Nutrition (TPN)?

In the context of a client who has started Total Parenteral Nutrition (TPN), monitoring capillary blood glucose is considered the priority assessment due to the risk of hyperglycemia and the potential for fluctuations in blood sugar levels while receiving TPN. TPN solutions typically contain high concentrations of glucose, which can lead to elevated blood sugar in patients who may have variable insulin production or sensitivity.

Regularly checking capillary blood glucose allows healthcare providers to promptly identify any disturbances in glucose levels, enabling timely interventions, which is crucial for preventing complications such as hyperglycemic crises. Managing blood glucose effectively is essential for maintaining overall metabolic stability and ensuring the effectiveness of the nutritional support being provided through TPN.

Other assessments like monitoring urine output, assessing body temperature, and evaluating electrolyte levels are also important for overall patient care, but they might not present immediate risks compared to the critical need for glucose management in the context of TPN. Therefore, the emphasis on blood glucose monitoring stands out in terms of priority in this setting.