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

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A rationale:

IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.

Choice B rationale:

The formulation of potassium (potassium chloride) is appropriate for IV administration.

Choice C rationale:

Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.

Choice D rationale:

The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.

A. Sodium 137 mEq B. Hgb 15 g/ C. Hct 439 D. Creatinine 2.5 mg/dl

Correct Answer is D

Explanation

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the report to the provider?

Correct Answer is D

Explanation

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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?