What is the priority nursing intervention when a client receiving TPN shows signs of fluid overload such as a bounding pulse and distended jugular veins?

Slowing the infusion rate is an appropriate nursing intervention when a client receiving Total Parenteral Nutrition (TPN) exhibits signs of fluid overload, such as a bounding pulse and distended jugular veins. When these symptoms arise, they indicate that the body is handling an excess volume of fluid, which can be detrimental, especially in a patient who may have underlying heart or kidney issues.

By reducing the infusion rate, the healthcare provider can decrease the volume of fluid entering the bloodstream and help prevent further complications related to fluid overload. This intervention allows time for the patient's body to process and adjust to the current fluid levels, mitigating the risk of conditions such as pulmonary edema or heart failure.

The other options have roles in the management of fluid overload but are not prioritized in this situation. Administering diuretics could be considered, but it is typically guided by a physician’s order, and immediate action is not indicated without a full clinical assessment. Increasing fluid intake is contraindicated in a scenario of fluid overload, as this would exacerbate the existing condition. Notifying the physician is essential for coordinating care but should follow immediate interventions to stabilize the patient first. Therefore, slowing the infusion rate directly addresses the immediate concern of fluid overload while ensuring safe management of