A patient receiving parenteral nutrition (PN) has gained 4 pounds over a 24-hour period.Given this weight gain,which interpretation by the nurse is most accurate?

A) Increased nutrition from the patient's parenteral infusions
B) Decreased linoleic acid intake
C) Increased fluid loss
D) Fluid retention

Weight gain greater than 1 pound/day indicates fluid retention.The patient's ideal weight gain is usually between 1 and 2 pounds/week.Weight is an indicator of the patient's nutritional status and determines fluid volume.A nutritional regimen without adequate fatty acids leads to essential fatty acid deficiency (EFAD),characterized by dry,scaly skin,sparse hair growth,impaired wound healing,decreased resistance to stress,increased susceptibility to respiratory tract infection,anemia,thrombocytopenia,and liver function abnormalities.