There are 2 types of parenteral nutrition, Total Parenteral Nutrition (TPN) and Peripheral Parenteral Nutrition (PPN). TPN must be administered using:
NGT
Orally
Central Line
Peripheral line
The Correct Answer is C
Choice A reason: NGT (nasogastric tube) is used for enteral feeding, not parenteral nutrition. Enteral feeding involves delivering nutrients directly to the stomach or small intestine, bypassing the need for eating. This method is suitable for patients who have a functioning digestive system but cannot eat orally. Parenteral nutrition, on the other hand, involves delivering nutrients directly into the bloodstream.
Choice B reason: Oral administration of nutrition involves consuming food or nutrients by mouth. This method is suitable for individuals who can eat and digest food normally. Parenteral nutrition bypasses the digestive system altogether and delivers nutrients directly into the bloodstream, making oral administration inappropriate for TPN.
Choice C reason: Central Line is the correct answer because Total Parenteral Nutrition (TPN) requires delivery of nutrients directly into a central vein, typically the superior vena cava. This is because TPN solutions are highly concentrated and can irritate smaller veins, leading to complications such as phlebitis. A central line allows for the safe administration of TPN, ensuring that the high osmolarity solution is rapidly diluted by the large volume of blood in the central veins.
Choice D reason: Peripheral line administration is used for Peripheral Parenteral Nutrition (PPN), not TPN. PPN can be delivered through a peripheral vein because it is less concentrated than TPN. Using a peripheral line for TPN is not appropriate due to the risk of complications from the high osmolarity of the TPN solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Reversible deviant cells do not accurately describe neoplasia. Neoplasia involves the uncontrolled and irreversible growth of abnormal cells. While some deviant cell changes can be reversible, neoplasia specifically refers to irreversible changes that lead to tumor formation.
Choice B reason: Neoplasia does not adhere to the genetic controls placed on cellular proliferation and differentiation. In fact, the hallmark of neoplasia is the loss of these regulatory mechanisms, leading to uncontrolled cell growth and differentiation.
Choice C reason: Neoplasia indeed alters cellular proliferation and differentiation. This alteration is due to genetic mutations and other changes that lead to the loss of normal growth control. The result is the formation of tumors, which can be benign or malignant.
Choice D reason: Controlled and regulated cells do not describe neoplasia. Neoplastic cells grow and proliferate without the normal regulatory signals that control cell growth and differentiation. This uncontrolled growth is what characterizes neoplasia.
Correct Answer is D
Explanation
Choice A reason: The neck is the most common site where individuals with Hodgkin Lymphoma (HL) present with nontender enlarged lymph nodes. These lymph nodes are typically firm and rubbery in texture. The cervical lymph nodes are often affected first in HL, making the neck a primary area of concern for this type of lymphoma. Early detection and biopsy of these lymph nodes can help in diagnosing HL.
Choice B reason: While the abdomen can be involved in Hodgkin Lymphoma, it is not the most common initial presentation site. Involvement of the abdominal lymph nodes typically occurs at later stages of the disease. Enlarged lymph nodes in the abdomen can be detected through imaging studies but are less accessible for physical examination compared to those in the neck.
Choice C reason: The kidney is not a typical site for lymph node involvement in Hodgkin Lymphoma. HL primarily affects the lymphatic system, including lymph nodes, spleen, and other lymphoid tissues. Direct involvement of the kidney is rare and usually occurs in advanced stages of the disease.
Choice D reason: The spleen is a lymphoid organ that can be involved in Hodgkin Lymphoma, especially in more advanced stages. However, it is not the primary site where nontender enlarged lymph nodes are first detected. Enlargement of the spleen (splenomegaly) can occur due to the spread of HL, but the initial presentation is usually in the lymph nodes of the neck.
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