The 21-year-old patient with a body mass index of 10.1 undergoes placement of a peripherally inserted central catheter (PICC) at 1000 and total parenteral nutrition (TPN) is initiated at 1200. At 1600, 160 mL have infused and the patient is noted to be breathing shallowly, there is blood oozing from the PICC insertion site, and the patient is exhibiting confusion. Which action does the nurse perform first?
- NCLEX Practice
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- Pharmacological and Parenteral Therapies
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- Category: Pharmacological and Parenteral Therapies
- Difficulty: 7
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Additional Pharmacological and Parenteral Therapies Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 8
The 28-year-old patient checks himself into a center for detoxification from opiates, which he has used daily for 3 years. The patient begins to experience pain, diarrhea, salivation, and diaphoresis and is started on buprenorphine. Worsening pain throughout the body and uncontrollable diarrhea prompts stepwise increase of buprenorphine dose to the maximum dose without relief of withdrawal symptoms. The nurse contacts the provider to request an order for which medication?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
The patient with chronic malnourishment is started on total parenteral nutrition (TPN). The nurse is vigilant for signs of which complication?
- Question Type: Multiple Choice - Select One
- Difficulty: 7
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