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 ["3"]
Explanation
Adolescent weight = 88 lb, 1 kg = 2.2 lb (to convert lb to kg), 88 lb / 2.2 = 40 kg (approx.), 150 mg/kg dose x 40 kg = 6000 mg, Available dose = 500 mg/tab, 6000 mg / 500 mg/tab
= 12 tabs per day, divided equally every 6 hrs
= 12 tabs / 4 doses
= 3 tabs per dose.
Correct Answer is D
Explanation
Choice A rationale: While medications received during surgery are essential to the client's history, they might not be pertinent to the current medication regimen and reconciliation process for transfer.
Choice B rationale: Sending a list of prescribed medications to the pharmacy isn't a direct action for medication reconciliation, which involves cross-checking current and new medications for discrepancies.
Choice C rationale: Discussing adverse effects with the client is important for their understanding but doesn't directly address the reconciliation process.
Choice D rationale: During medication reconciliation, comparing the current medications with newly prescribed ones is crucial. Noting any differences or discrepancies helps
ensure the accuracy of the client's medication regimen during their transfer to another facility.
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