Question 20 - Pharmacological and Parenteral Therapies Practice Test for the NCLEX-RN Exam

A patient admitted to the ICU with an order for complete bowel rest is started on total parenteral nutrition (TPN). On the second day, the nurse notes that the patient has developed hypertension. The physical assessment demonstrates mild peripheral edema, neck vein distension and the presence of mild crackles and rales on auscultation of the lungs bilaterally. Which of these complications of TPN is this patient likely experiencing?