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

Answer and Explanation

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.

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Correct Answer is D

Explanation

a) While knowing if the patient takes generic medications is useful, it is not the priority. Generic and brand-name drugs generally have the same active ingredients and effects.

b) Orphan drugs are used to treat rare diseases, but this is not a primary concern for most patients and does not directly impact medication safety in routine assessments.

c) Asking about medication safety during pregnancy is important if the patient is pregnant or could become pregnant, but it is not the primary concern for all patients.

d) Over-the-counter (OTC) medications can interact with prescribed medications, potentially leading to adverse effects or reduced efficacy. It is crucial to assess OTC use to ensure there are no dangerous drug interactions.

A. Teaching the patient how to cope with therapy to ensure the best outcome. B. Providing therapy as well as medications. C. Evaluating the effectiveness of therapy. D. Altering the drug regimen to optimize outcome. E. Recommending appropriate over-the-counter medications to treat adverse effects of prescription drug therapy.

Correct Answer is ["A","C"]

Explanation

a) Teaching the patient how to cope with therapy is part of the nurse's responsibility to ensure the patient understands the treatment regimen, side effects, and how to manage any challenges, thus improving outcomes.

b) Providing therapy refers to administering medications, but nurses generally do not "provide therapy" in the broader sense (such as deciding what therapy a patient needs beyond the prescribed drug regimen).

c) Evaluating the effectiveness of therapy is the nurse's responsibility as part of the ongoing assessment. The nurse should monitor how well the drug is working and identify any adverse effects.

d) Altering the drug regimen is outside the nurse’s scope of practice. Nurses can suggest changes or communicate concerns, but altering drug regimens requires a healthcare provider’s approval.

e) Recommending over-the-counter medications for adverse effects is not within the nurse's scope unless advised by a healthcare provider. Nurses should guide patients based on provider orders and not independently suggest over-the-counter remedies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is ["A","C"]

Explanation

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