A nurse is caring for a client who has a prescription for total parental nutrition (TPN).
Which of the following routes of administration should the nurse use?

Central venous access device

Midline catheter

Subcutaneous

Intraosseous

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Total parental nutrition (TPN) is a highly concentrated intravenous nutritional solution that provides essential nutrients. It is administered through a central venous access device to ensure proper dilution and delivery.

Choice B rationale:

A midline catheter is not appropriate for administering TPN, as it may not be suitable for the concentrated solution.

Choice C rationale:

Subcutaneous administration is not suitable for TPN, as it requires intravenous access to provide the necessary nutrients directly into the bloodstream.

Choice D rationale:

Intraosseous access is not commonly used for long-term nutritional support like TPN; it is more often used for emergent situations.

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Correct Answer is B

Explanation

Choice A rationale:

Alopecia (hair loss) is not a common adverse effect of paroxetine.

Choice B rationale:

Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.

Choice C rationale:

Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.

Choice D rationale:

Peripheral edema is not a common adverse effect of paroxetine.

A. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered. B. The client's absolute neutrophil count was 2.500/mm3 before the medication was administered. C. The client had chemotherapy 12 hr before the medication was administered. D. The medication vial sat at room temperature for 2 hr before it was administered.

Correct Answer is D

Explanation

A: Flushing an IV line with dextrose 5% in water before and after medication administration is a common practice to ensure that the medication is delivered properly and to prevent interactions in the IV line. This would not typically require an incident report.
B: An absolute neutrophil count of 2.500/mm3 is within the normal range for patients undergoing chemotherapy and would not typically necessitate an incident report.
C: Having chemotherapy 12 hours before the administration of filgrastim does not contraindicate its use and is within the appropriate time frame as filgrastim is often given after chemotherapy to help recover white blood cell counts.
D: According to the guidelines, filgrastim should be stored in the refrigerator and allowing it to sit at room temperature for 2 hours could compromise its effectiveness. This is a deviation from the medication's storage requirements and could potentially harm the patient, thus an incident report should be filed.

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A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has a prescription for total parental nutrition (TPN).
Which of the following routes of administration should the nurse use?