A nurse correctly administers digoxin (Lanoxin) and propranolol (Inderal) via a feeding tube by:
Checking the residual, flushing with water, administering the digoxin, administering the propranolol, and flushing with water
Flushing with water, administering the digoxin, flushing with water, administering the propranolol, and flushing with water
Flushing with water, administering the digoxin, administering the propranolol, and flushing with water
Checking for tube placement, checking the residual, flushing with water, administering the digoxin, flushing with water, administering the propranolol, and flushing with water
The Correct Answer is D
Choice A reason: Skipping tube placement risks misdelivery; full protocol ensures safety. Residual check alone isn’t enough, per nursing standards. This misses a critical step, universally distinct as incomplete for safe tube administration.
Choice B reason: No placement verification risks errors; drugs need flushing between. This lacks a key safety check, per nursing pharmacology. It’s universally insufficient, distinctly omitting tube confirmation for effective delivery.
Choice C reason: Missing placement and residual checks, plus no flush between drugs, risks errors. Full protocol is safer, per nursing standards. This shortcut fails universally, distinctly compromising medication administration accuracy.
Choice D reason: Checking placement, residual, and flushing between digoxin and propranolol ensures safety and efficacy. This full process aligns with nursing tube administration standards, universally recognized and distinctly applied for best outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.
Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.
Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.
Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.
Correct Answer is C
Explanation
Choice A reason: Tachycardia doesn’t dictate dose increases; orthostasis is the concern. Slow movement prevents falls, per nursing standards. This misaligns universally, distinctly missing antihypertensive safety teaching.
Choice B reason: BP checks every 8 hours aren’t standard; slow positioning addresses hypotension. This overcomplicates, per nursing pharmacology. It’s universally distinct, not routine discharge advice.
Choice C reason: Slow position changes prevent orthostatic hypotension, common with antihypertensives. This ensures safety, per nursing standards. It’s universally recognized, distinctly critical for patient education on these drugs.
Choice D reason: Tyramine relates to MAOIs, not typical antihypertensives. Slow movement fits, per nursing pharmacology. This errors universally, distinctly irrelevant to standard antihypertensive precautions.
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