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?
Subcutaneous
Intraosseous
Midline catheter
Central venous access device
The Correct Answer is D
Choice A rationale: TPN cannot be administered subcutaneously due to its composition.
Choice B rationale: Intraosseous access is for emergency situations when IV access isn't attainable.
Choice C rationale: A midline catheter might not be suitable for the hypertonic nature of TPN and can lead to complications.
Choice D rationale: Total parenteral nutrition (TPN) is a hypertonic solution that requires infusion into a large vein. The central venous access device allows for high-flow rates and avoids irritation or damage to smaller peripheral veins.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Nasal cyanocobalamin for pernicious anemia is commonly administered once a week. The instruction to administer the medication into one nostril aligns with the correct technique.
Choice B rationale: Post-administration lying down isn't necessary for this medication.
Choice C rationale: The duration of treatment can vary; a fixed duration isn't universally applicable.
Choice D rationale: Using a nasal decongestant isn't a routine part of administering nasal cyanocobalamin for pernicious anemia.
Correct Answer is D
Explanation
Choice A rationale: Prednisone use doesn't typically lead to hemolytic anemia.
Choice B rationale: Prednisone can actually elevate blood glucose levels.
Choice C rationale: While it's possible, liver toxicity isn't a common adverse effect of prednisone.
Choice D rationale: Long-term use of prednisone, a corticosteroid, can lead to bone loss (osteoporosis) due to its impact on calcium absorption and bone metabolism in older adults.
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