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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Leaning against a bedside table does not provide adequate support or comfort for coughing.
B. Splinting the abdomen with a pillow supports the incision site and reduces pain, making it easier for the patient to cough effectively.
C. Supporting the patient's back is helpful but not as effective as abdominal splinting for reducing pain during coughing.
D. Offering an antitussive is not appropriate as it suppresses coughing, which is needed to clear secretions postoperatively.

A. Apply petroleum jelly to the client's lips after oral care. B. Use the thumb and index finger to keep the client's mouth open. C. Use a stiff toothbrush to clean the client's teeth. D. Turn the client on his side before starting oral care.

Correct Answer is D

Explanation

A. Petroleum jelly can be applied, but it is not the priority action.
B. Using the thumb and index finger to keep the client's mouth open can be unsafe and uncomfortable.
C. A soft toothbrush should be used to prevent injury to the oral mucosa.
D. Turning the client on his side reduces the risk of aspiration during oral care.

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Which fluid or product to be infused requires a central venous access rather than a peripheral access?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What technique will the nurse implement to assist the postoperative patient to cough?

Correct Answer is B

Explanation

A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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