"when a nurse assesses a client receiving total parenteral nutrition (tpn), which laboratory value is most important for the nurse to monitor regularly? a. albumin. b. calcium. c. glucose. d. alkaline phosphatase."

C. Glucose

Explanation:

     Parenteral nutrition is defined by intravenous administration of macro and micronutrients through the peripheral or central route.  Proper indication, maintenance of biochemical, clinical and anthropometric controls allow to reduce infectious, metabolic or infusion complications.

     Serum glucose levels and the patient's clinical condition were considered as the main parameters until the calculated and prescribed nutritional needs were reached. It is essential to control blood glucose, avoiding states of hyper or hypoglycemia.

these are common warning signs of overtraining syndrome:

washed-out feeling, tired, drained, lack of energy

mild leg soreness, general aches, and pains

pain in muscles and joints

sudden drop in performance

insomnia

headaches

decreased immunity (increased number of colds, and sore throats)

decrease in training capacity/intensity

moodiness and irritability

depression

loss of enthusiasm for the sport

decreased appetite

increased incidence of injuries.

a compulsive need to exercise