Which fluid or product to be infused requires a central venous access rather than a peripheral access?
A. Fresh-frozen plasma
B. Parenteral nutrition formula
C. Dextrose 10% in water (D10W)
D. 0.9% sodium chloride (normal saline)
B
All parenteral nutrition formulas have an osmolarity more than 500 mOsm/L. Hyperosmolar so-lutions with an osmolarity of more than 500 mOsm/L should not be infused through a peripheral access. Infusing such high-osmolar solutions into peripheral veins greatly increases the risk for complications such as phlebitis, thrombosis, and extravasation injury.
You might also like to view...
A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman?
A) "It's good to measure your heart rate before you take your Detrol each day, and withhold it if your heart rate is below 60 beats/minute." B) "You'll probably need to stop taking your hormone replacement therapy when you're taking Detrol." C) "You'll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic." D) "You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued."
After the nurse teaches a client about measures to help reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching?
A) "I will make sure to take my estrogen supplements a week before my period." B) "I've signed up to join an aerobic exercise class three times a week." C) "I'll cut down on the number of cups of coffee and colas that I drink everyday." D) "I've just quit smoking about a month ago, so that should help."
How should a nurse end an interview with the client?
A) Call the client's family members to give them information. B) Call the physician for further consultation. C) Conduct a physical examination immediately after the interview. D) Summarize the information obtained with the client.
When a baby is born with congenital scoliosis, the nurse should also assess for problems with which other organs?
A) Heart and lungs B) Liver and kidneys C) Heart and kidneys D) Lungs and liver