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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Morphine tablet is not likely to provide rapid relief within 1 hour for moderate to severe pain.

Choice B rationale:

Fentanyl transmucosa, such as a fentanyl lozenge or transmucosal patch, is a strong opioid analgesic that can provide rapid relief for breakthrough pain.

Choice C rationale:

A lidocaine patch is typically used for localized pain relief and might not provide the desired level of relief for systemic pain.

Choice D rationale:

Naloxone IV is an opioid antagonist used to reverse opioid overdose. It would not be appropriate to administer naloxone in this situation.

A. Red man syndrome B. Hypotension C. Hypoglycemia D. Bradycardia

Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.

Choice B rationale:

Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.

Choice C rationale:

Hypoglycemia is not commonly associated with phenytoin use.

Choice D rationale:

Bradycardia is not commonly associated with phenytoin use.

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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?

Nursing Test Bank

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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?