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 D
Explanation
Choice A rationale: Black cohosh is not typically associated with benefits for benign prostatic hyperplasia.
Choice B rationale: Feverfew is more commonly used for migraines and might not be relevant for BPH.
Choice C rationale: While garlic has various health benefits, its specific role in managing BPH is not well-established.
Choice D rationale: Saw palmetto is an herbal supplement that has been used traditionally for symptoms related to benign prostatic hyperplasia (BPH). It may potentially help alleviate symptoms associated with this condition. Discussing this supplement with the provider would be suitable for the client's preference for natural therapy.
Correct Answer is C
Explanation
Choice A rationale: It's fine to massage the site after epinephrine administration to help absorption.
Choice B rationale: The thigh is the recommended injection site for an epinephrine auto- injector.
Choice C rationale: During an emergency, if the person is unable to expose the injection site, it's acceptable to administer epinephrine through clothing to ensure timely delivery.
Choice D rationale: Aspiration is not recommended for epinephrine administration as it can delay treatment.
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