Which fluid or product to be infused requires a central venous access rather than a peripheral access?
Fresh-frozen plasma
Dextrose 10% in water (D10W)
0.9% sodium chloride (normal saline)
Parenteral nutrition formula
The Correct Answer is D
A. Fresh-frozen plasma can be administered via peripheral access.
B. Dextrose 10% in water can typically be administered via peripheral access.
C. 0.9% sodium chloride (normal saline) can be administered via peripheral access.
D. Parenteral nutrition formula, particularly if it is hyperosmolar, often requires central venous access due to the high concentration of glucose and nutrients, which can irritate peripheral veins and require a more stable infusion rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The nurse should not inform the provider that the PCA is not providing adequate pain relief, as this is not true based on the client's pain rating of 2 out of 10.
B. The nurse should not ask the provider for a prescription to decrease the continuous rate, as this may compromise the client's pain relief and comfort.
C. The client should be encouraged to use the PCA pump before the pain becomes severe, as this will provide better pain control and reduce the risk of side effects.
D. Instructing the caregiver to push the button without the client's request may lead to overmedication and potential respiratory depression.
Correct Answer is C
Explanation
Rationale:
A. The deltoid muscle is not recommended for IM injections in infants due to its small size.
B. The gluteus is not preferred due to the risk of hitting the sciatic nerve and because the muscle is not well-developed in infants.
C. The vastus lateralis muscle is the preferred site for IM injections in infants due to its size and low risk of complications.
D. "Upper thigh" is a vague term but typically refers to the vastus lateralis in the context of infant injections.
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