Which action correctly follows nutrition screening in home PN care?

• A. Document the result and refer nutritionally at-risk patients for further orders
• B. Re-screen only if status changes
• C. Do nothing until the next scheduled visit
• D. Refer all patients regardless of risk without screening

Answer: (B)

Ongoing nutrition monitoring is driven by changes in the patient’s status rather than re-screening at every encounter. After an initial nutrition screening, you don’t automatically re-screen each time; you re-screen only when there is a change in the patient’s condition—such as weight trends, edema, gastrointestinal tolerance, metabolic labs, functional status, or new comorbidities. This change-driven reassessment allows timely adjustments to the PN prescription, oral intake strategies, or the need for a nutrition referral. If screening identifies new risk, you would document that result and escalate appropriately, but the action that best follows screening under typical home PN monitoring is to re-screen only when the status changes.