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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: This prescription indicates a single dose, which seems appropriate for its use.
Choice B rationale: Penicillin G is usually administered in divided doses 4 to 6 hours apart intramuscularly.
Choice C rationale: The nurse should clarify the prescription for warfarin with the provider before administering it. Warfarin is an anticoagulant that is usually given orally, not subcutaneously. The dose of warfarin is also measured in milligrams, not units. The nurse should verify the route, dosage, and frequency of warfarin with the provider to prevent adverse effects such as bleeding or clotting.
Choice D rationale: The frequency and dosage of Tetracycline are standard and within the typical range for treatment.
Correct Answer is C
Explanation
Choice A rationale: Myoclonic seizures are not typically associated with neostigmine administration.
Choice B rationale: Fever is not a common adverse effect of neostigmine.
Choice C rationale: Neostigmine, a cholinesterase inhibitor, can lead to excessive muscarinic responses like increased salivation due to its effects on cholinergic receptors.
Choice D rationale: Occipital headaches are not typically reported as a response to neostigmine.
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