A nurse discovers that a client's total parenteral nutrition (TPN) solution is not infusing. What condition should the nurse monitor the client for?

In the scenario where a total parenteral nutrition (TPN) solution is not infusing, monitoring for shakiness and diaphoresis is crucial because these symptoms can indicate the development of hypoglycemia. TPN is a method of providing nutrition intravenously, and it typically contains a significant amount of glucose. If the solution is not infusing, the client could be at risk for having a low blood sugar level, especially if they have not received any other source of carbohydrates during that time.

Shakiness and diaphoresis are classic signs of hypoglycemia, which occurs when there is an imbalance between insulin levels and available glucose in the bloodstream. If a client on TPN suddenly stops receiving the glucose they need, their blood sugar levels can drop, leading to these symptoms. Therefore, it is imperative for the nurse to monitor for these signs and address any hypoglycemic condition promptly to prevent more serious complications.

The other options, while significant in different contexts, are less directly related to the immediate risks associated with an interruption in TPN infusion. For example, fever and chills might indicate infection or an inflammatory response unrelated to TPN. Increased heart rate and hypertension may suggest a variety of other physiological responses but do not directly relate to the