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?

Subcutaneous

Intraosseous

Midline catheter

Central venous access device

Answer and Explanation

The Correct Answer is D

Choice A rationale: TPN cannot be administered subcutaneously due to its composition.
Choice B rationale: Intraosseous access is for emergency situations when IV access isn't attainable.
Choice C rationale: A midline catheter might not be suitable for the hypertonic nature of TPN and can lead to complications.
Choice D rationale: Total parenteral nutrition (TPN) is a hypertonic solution that requires infusion into a large vein. The central venous access device allows for high-flow rates and avoids irritation or damage to smaller peripheral veins.

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Correct Answer is D

Explanation

Choice A rationale: Exophthalmos (bulging eyes) is a characteristic feature of Graves' disease and might not directly relate to the need for a lower medication dose.
Choice B rationale: Weight loss is a symptom of hyperthyroidism and might not directly indicate the need for a lower methimazole dose.
Choice C rationale: Diaphoresis (excessive sweating) can be a symptom of hyperthyroidism but might not solely indicate the need for a lower methimazole dose.
Choice D rationale: Bradycardia (abnormally slow heart rate) might indicate excessive suppression of thyroid function caused by an excessive dose of methimazole in a client with Graves' disease, warranting a lower medication dose.

A. Montelukast B. Pantoprazole C. Isosorbide mononitrate D. Propranolol

Correct Answer is D

Explanation

Choice A rationale: Montelukast is a leukotriene receptor antagonist and doesn't directly interact with albuterol.
Choice B rationale: Pantoprazole is a proton pump inhibitor and does not directly interact with albuterol.
Choice C rationale: Isosorbide mononitrate is a nitrate used for heart conditions and does not directly interact with albuterol.
Choice D rationale: Albuterol, used for asthma, is a beta-agonist, while propranolol is a beta-blocker. Administering these medications together can counteract the effects of both drugs due to their opposing actions on beta receptors. It's crucial to withhold propranolol and inform the provider to avoid potential adverse effects.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?

Correct Answer is D

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

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?