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
Choice A rationale:
Total parental nutrition (TPN) is a highly concentrated intravenous nutritional solution that provides essential nutrients. It is administered through a central venous access device to ensure proper dilution and delivery.
Choice B rationale:
A midline catheter is not appropriate for administering TPN, as it may not be suitable for the concentrated solution.
Choice C rationale:
Subcutaneous administration is not suitable for TPN, as it requires intravenous access to provide the necessary nutrients directly into the bloodstream.
Choice D rationale:
Intraosseous access is not commonly used for long-term nutritional support like TPN; it is more often used for emergent situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Bradycardia (slow heart rate) is not a primary concern when administering lisinopril.
Choice B rationale:
Hypokalemia (low potassium levels) can be a concern with certain medications, but it is not directly related to lisinopril administration.
Choice C rationale:
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat heart failure. One of the potential side effects of ACE inhibitors is hypotension (low blood pressure), so the nurse should monitor the client's blood pressure closely during and after administration.
Choice D rationale:
Tinnitus (ringing in the ears) is not a common side effect of lisinopril.
Correct Answer is D
Explanation
A. Taking ferrous gluconate with 8 ounces of milk is incorrect. Calcium in milk can interfere with the absorption of iron, reducing its effectiveness. The client should be instructed to avoid taking iron supplements with dairy products.
B. It is not necessary to notify the provider if stools turn black. Black stools are a common and harmless side effect of iron supplementation due to the unabsorbed iron in the gastrointestinal tract. The client should be informed of this expected side effect.
C. Taking an antacid with ferrous gluconate is incorrect. Antacids can reduce the absorption of iron by altering the stomach's pH. If the client experiences stomach upset, the medication can be taken with food, although this may slightly reduce absorption.
D. Staying upright for at least 15 minutes after taking ferrous gluconate is correct. This practice helps prevent esophageal irritation, which can occur if the medication remains in contact with the esophageal lining. This statement indicates an understanding of the teaching.
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