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A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route?

Osimvastatin

Hydrochlorothiazide

Captopril

Fondaparinux

Answer and Explanation

The Correct Answer is D

A. Osimvastatin is an oral medication used to lower cholesterol and is not administered parenterally.

B. Hydrochlorothiazide is a diuretic typically administered orally, not parenterally.

C. Captopril is an ACE inhibitor usually given orally.

D. Fondaparinux is an anticoagulant that is typically administered by subcutaneous injection, making it the correct choice for parenteral administration.

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Correct Answer is A

Explanation

A. TPN is used for clients who cannot absorb nutrients via the intestinal tract, typically due to issues like severe malabsorption or bowel dysfunction.

B. Long-term nutritional support is typically provided via enteral feeding rather than TPN, unless the client cannot tolerate enteral feeding.

C. Gastric residual is relevant for clients receiving enteral nutrition (not TPN), which involves checking for residuals in the stomach before feeding.

D. TPN should be administered over a longer period (typically 12-24 hours), not 6 hours.

A. Provide a long-acting NSAID. B. Apply heat to the patch. C. Replace the patch with a new one. D. Administer a short-acting opioid.

Correct Answer is D

Explanation

A. A long-acting NSAID is not appropriate for breakthrough pain when a fentanyl patch is already in use, as it is not fast-acting enough.

B. Applying heat to the patch can increase the absorption of fentanyl, which could cause an overdose.

C. The fentanyl patch is a long-acting opioid, and a new patch should not be applied for breakthrough pain so soon.

D. A short-acting opioid is appropriate for treating breakthrough pain, as it provides rapid relief.

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A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has a prescription for a fentanyl transdermal patch and had one patch applied 4 hr ago. The client reports breakthrough pain. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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