Evolve-six hours after initiation of total parenteral nutrition, the client's serum glucose level increases to 240 mg/dl (13.3 mmol/l). what does the nurse conclude is the most likely cause of the increase?

Parenteral Feeding is high in Dextrose which is a form of sugar. The Carbohydrate breakdown of the feeding is what raises the client's serum glucose. The client is also more than likely to be a Diabetic as the body's natural insulin should have broken down the Carbohydrate after six hours.