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

A.

Fresh-frozen plasma

B.

Dextrose 10% in water (D10W)

C.

0.9% sodium chloride (normal saline)

D.

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 D

Explanation

A. Hepatitis screening typically involves blood tests.
B. Meningitis is diagnosed through lumbar puncture and laboratory tests, not intradermal injection.
C. Diabetes screening involves blood glucose testing, not intradermal injection.
D. Tuberculosis (TB) screening is commonly performed using an intradermal injection, known as the Mantoux tuberculin skin test.

Correct Answer is A

Explanation

A. Covering the bowel with a sterile saline dressing helps keep the bowel moist and prevents infection.
B. Raising the patient to a high Fowler's position can increase abdominal pressure and worsen the evisceration.
C. Calling the RN is important, but the immediate priority is to protect the protruding bowel.
D. Turning the patient to the side is not appropriate and does not address the immediate need to protect the bowel.

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