A client has a gastrotomy tube in place. The health care provider ordered the medication p.o. Which action would be appropriate for the nurse to take?
Clarify the order with the charge nurse
Dilute the medication and administer by GT
Clarify the order with the health provider who wrote the order
Administer p.o as ordered
The Correct Answer is C
a) Clarifying the order with the charge nurse is not the correct action. The charge nurse may not be able to clarify medication orders and is not the primary contact for this issue.
b) Diluting and administering the medication by gastrostomy tube (GT) is inappropriate because the medication is ordered to be taken p.o. (by mouth), not via the tube.
c) Clarifying the order with the healthcare provider is the most appropriate step. A p.o. order is typically for oral administration, but the client has a gastrotomy tube. The nurse should clarify with the provider whether the medication can be crushed and administered via the tube or if a different route or medication form is necessary.
d) Administering the medication p.o. as ordered would not be appropriate if the client is unable to take oral medications. The nurse should verify the appropriate route of administration based on the patient's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While pediatric doses are often weight-based, this does not fully account for differences in drug metabolism and effects in children. Pediatric drug safety requires specific testing beyond weight comparisons to adults.
B. Relying on repeated use over time to determine safety is not an evidence-based approach. Drug approval for pediatric use requires formal clinical trials to establish safety and efficacy.
C. The U.S. FDA and other regulatory agencies require that drugs intended for pediatric use undergo clinical trials specifically designed to assess safety, efficacy, and appropriate dosing in children. This ensures that medications are appropriately tested before being marketed for pediatric patients.
D. While some post-marketing studies may include children, initial approval for pediatric use requires pre-market clinical testing. Relying solely on post-marketing studies does not ensure comprehensive safety data before widespread pediatric use.
Correct Answer is C
Explanation
A. The Drug Regulation and Reform Act focuses on expediting drug approval processes and does not specifically govern drug administration by nurses.
B. The FDA Amendments Act primarily expands the authority of the FDA over drug safety and post-marketing surveillance but does not directly regulate nursing drug administration.
C. Nurse Practice Acts (NPAs) are state laws that define the scope of nursing practice, including drug administration. These laws outline nurses' responsibilities, legal limitations, and requirements for safe medication administration.
D. The Controlled Substances Act regulates the manufacture, distribution, and classification of controlled substances but does not govern all aspects of drug administration by nurses.
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