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 C

Explanation

Choice A rationale: Naloxone is primarily used to reverse opioid overdose.
Choice B rationale: Alprazolam is a benzodiazepine typically prescribed for anxiety disorders.
Choice C rationale: Bupropion is a medication used to aid smoking cessation by reducing nicotine cravings and withdrawal symptoms. It's among the commonly prescribed medications for individuals seeking to quit smoking.
Choice D rationale: Melatonin is a supplement used for regulating sleep cycles and isn't directly linked to smoking cessation.

A. Cardiac arrhythmias absent B. Decreased vomiting C. Absent Chvastek's sign D. Improved cognition

Correct Answer is D

Explanation

Choice A rationale: Cardiac arrhythmias are a concern with severe hyponatremia but might not directly indicate treatment effectiveness.
Choice B rationale: While vomiting might improve with treatment, it's not a definitive indicator of correcting hyponatremia.
Choice C rationale: Chvostek's sign is more associated with calcium imbalances, not sodium levels.
Choice D rationale: Hyponatremia can cause neurological symptoms due to brain swelling. Improving cognition indicates that the hypertonic solution is likely correcting the low sodium levels and reducing brain swelling.

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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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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?