Which fluid or product to be infused requires a central venous access rather than a peripheral access?

Fresh-frozen plasma

Dextrose 10% in water (D10W)

0.9% sodium chloride (normal saline)

Parenteral nutrition formula

Answer and Explanation

The Correct Answer is D

A. Fresh-frozen plasma can be administered via peripheral access.
B. Dextrose 10% in water can typically be administered via peripheral access.
C. 0.9% sodium chloride (normal saline) can be administered via peripheral access.
D. Parenteral nutrition formula, particularly if it is hyperosmolar, often requires central venous access due to the high concentration of glucose and nutrients, which can irritate peripheral veins and require a more stable infusion rate.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. The maturation phase is the final phase of wound healing and involves the strengthening and remodeling of collagen fibers.
B. The proliferation phase is the second phase of wound healing, characterized by the formation of new tissue and blood vessels.
C. The inflammation phase is the first phase of wound healing, during which the body's initial response to injury involves hemostasis and inflammation. This phase includes vasodilation, increased permeability of blood vessels, and the influx of white blood cells to clean the wound.
D. The remodeling phase is another term for the maturation phase, the final phase of wound healing.

A. Inform the provider that the PCA is not providing adequate pain relief. B. Ask the provider for a prescription to decrease the continuous rate. C. Instruct the client to push the button more frequently. D. Instruct the client's caregiver to push the PCA button when the client is resting.

Correct Answer is C

Explanation

A. The nurse should not inform the provider that the PCA is not providing adequate pain relief, as this is not true based on the client's pain rating of 2 out of 10.
B. The nurse should not ask the provider for a prescription to decrease the continuous rate, as this may compromise the client's pain relief and comfort.
C. The client should be encouraged to use the PCA pump before the pain becomes severe, as this will provide better pain control and reduce the risk of side effects.
D. Instructing the caregiver to push the button without the client's request may lead to overmedication and potential respiratory depression.

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Which fluid or product to be infused requires a central venous access rather than a peripheral access?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to teach a group of newly licensed nurses about the first phase of wound healing. Which of the following processes should the nurse plan to discuss?

Correct Answer is C

Explanation

A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Which fluid or product to be infused requires a central venous access rather than a peripheral access?

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