What should the nurse's initial action be when a client receiving TPN expresses concern about weight gain?

When a client receiving Total Parenteral Nutrition (TPN) expresses concern about weight gain, the initial action of the nurse should be to inquire how illness affects the client's self-concept. This approach is essential because it addresses the psychological and emotional aspects of the client's experience.

Clients on TPN are often dealing with significant health challenges, and their concerns about weight can be closely tied to their self-image, feelings of worth, and overall psychological well-being. By exploring these feelings, the nurse can better understand the patient’s perspective, validate their concerns, and provide support. This open communication can lead to a more tailored response that takes into account the individual's emotional state related to their illness and treatment.

This initial inquiry sets a foundation for a therapeutic relationship where the nurse can provide education and reassurance about TPN, while also considering the emotional ramifications of the treatment. It emphasizes the importance of holistic care that addresses both physical and psychological needs in the context of nursing practice.