A nurse is caring for a client who has a prescription for total parental nutrition (TPN).
Which of the following routes of administration should the nurse use?
Central venous access device.
Midline catheter.
Subcutaneous.
Intraosseous.
The Correct Answer is A
Total parenteral nutrition (TPN) is a highly concentrated solution that provides nutrients to the body intravenously.
It is typically administered through a central venous access device, such as a central venous catheter or a peripherally inserted central catheter (PICC), because it can irritate the walls of smaller veins.
Choice B is wrong because Midline catheter, is not an appropriate route for TPN administration because it is not a central venous access device.
Choice C is wrong because Subcutaneous, is not an appropriate route for TPN administration because it is not given intravenously.
Choice D is wrong because Intraosseous, is not an appropriate route for TPN administration because it is typically used in emergency situations when intravenous access cannot be obtained.
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Related Questions
Correct Answer is C
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
Abrupt discontinuation of propranolol can result in a variety of adverse reactions, including tachycardia (increased heart rate).
Choice A is wrong because bradypnea (abnormally slow breathing) is not a known withdrawal symptom of propranolol.
Choice B is wrong because hyperkalemia (high potassium levels) is not a known withdrawal symptom of propranolol.
Choice D is wrong because rhinitis (inflammation of the nasal mucous membrane) is not a known withdrawal symptom of propranolol.
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a method of administration of essential nutrients to the body through a central vein.
TPN solutions are customized for each client’s needs, including the exact amount of calories and nutrients necessary for total nutritional needs.
Monitoring the client’s weight daily is important to determine if nutritional goals are being met and to assess fluid volume status.
Choice B is wrong because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so they require a central venous catheter and should not be hung to gravity to infuse.
Choice C is wrong because TPN solution should not be titrated to blood pressure.
Choice D is wrong because the client’s blood glucose level should be monitored more frequently than weekly when receiving TPN.
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