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 C

Explanation

A. Enteral administration involves the gastrointestinal tract, which has a slower absorption rate.
B. Topical administration involves absorption through the skin, which is also slower.
C. Intravenous (IV) administration delivers medication directly into the bloodstream, providing the fastest rate of absorption.
D. Intramuscular (IM) administration is faster than enteral and topical but slower than intravenous.

A. "Your husband should decide when more medication is needed." B. "Next time you think he needs more medication, call me and I'll push the button." C. "It's a good idea to help make sure your husband can sleep comfortably." D. "Why do you think your husband needs more medication when he is asleep?"

Correct Answer is A

Explanation

A. This response emphasizes the importance of the patient controlling their own pain management. PCA pumps are designed to allow the patient to self-administer pain medication as needed, ensuring they receive the appropriate dose based on their pain levels.
B. This response is inappropriate because it undermines the purpose of a PCA pump, which is to allow the patient to control their own pain relief.
C. While the partner's intention is to help, this response does not address the potential risk of over-sedation and respiratory depression when someone other than the patient administers the medication.
D. This response questions the partner's actions but does not provide clear guidance on the proper use of the PCA pump.

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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

A nurse is teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

Correct Answer is C

Explanation

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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