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 A
Explanation
Choice A rationale: Morphine is a potent opioid commonly used to manage moderate to severe cancer-related pain due to its effectiveness in controlling pain intensity.
Choice B rationale: Acetaminophen might not be adequate for managing moderate cancer pain compared to opioids like morphine.
Choice C rationale: Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), might not be sufficient for moderate to severe cancer-related pain.
Choice D rationale: Aspirin, another NSAID, might not provide adequate pain relief for moderate to severe cancer pain.
Correct Answer is B
Explanation
Choice A rationale: Alopecia (hair loss) is not a common side effect associated with paroxetine use.
Choice B rationale: Drowsiness is a common adverse effect of paroxetine, a selective serotonin reuptake inhibitor (SSRI) antidepressant. Educating the client to monitor for this potential side effect is important.
Choice C rationale: Peripheral edema is an uncommon side effect of paroxetine use.
Choice D rationale: Tinnitus is not typically associated with paroxetine use.

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