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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Slowing the infusion rate would not address the issue of infiltration.
Choice B rationale:
Flushing the IV catheter would not be effective in managing fluid infiltration.
Choice C rationale:
Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.
Choice D rationale:
Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.
Correct Answer is C
Explanation
- A: Warmer skin is not expected as methimazole is used to reduce thyroid hormone production, which would decrease metabolism and heat production.
- B: An increase in pulse rate is unlikely because methimazole decreases thyroid hormone levels, leading to a potential decrease in heart rate.
- C: Increased sleeping is expected as methimazole reduces hyperthyroid symptoms, including insomnia, thus normalizing sleep patterns.
- D: Weight loss is not expected; instead, weight stabilization or gain may occur as the metabolism normalizes with treatment.
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