A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse flush with water? (Select all that apply.)

Prior to administering medications

After each medication

After giving multiple medications

Before aspirating gastric contents

After administering a sublingual medication

Answer and Explanation

Correct Answer : A,B,C

A. Flushing with water before administering medications helps ensure the tube is clear and free from residual medications.
B. Flushing after each medication ensures the medication is delivered completely into the stomach and minimizes drug interactions.
C. Flushing after giving multiple medications helps clear the tube and prevents potential interactions between different medications.
D. Flushing before aspirating gastric contents helps ensure accurate assessment and prevents contamination of samples.
E. Flushing after administering a sublingual medication is not necessary for a gastrostomy tube, as it is specific to oral medication administration.

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Correct Answer is B

Explanation

A. Atropine is not used as an antidote for warfarin overdose. It is primarily used to treat bradycardia and certain types of heart block.
B. Vitamin K is the antidote for warfarin overdose. Warfarin inhibits vitamin K-dependent clotting factors, and vitamin K helps reverse its effects by promoting clotting factor synthesis in the liver.
C. Protamine is used as an antidote for heparin, not warfarin. It binds to heparin to neutralize its anticoagulant effects.
D. Epinephrine is not used as an antidote for warfarin overdose. It is primarily used in emergencies such as severe allergic reactions (anaphylaxis) or cardiac arrest.

A. Dorsal recumbent B. Prone C. Sims' position D. Orthopneic

Correct Answer is A

Explanation

A. Dorsal recumbent position (lying on the back with knees flexed and feet flat on the bed) allows for easy access to administer vaginal cream and is comfortable for the client.
B. Prone position (lying face down) is not suitable for administering vaginal cream.
C. Sims' position (lying on the left side with the upper knee flexed and raised towards the chest) is used for rectal examinations or enemas, not vaginal cream administration.
D. Orthopneic position (sitting upright or leaning forward to breathe easier) is not appropriate for vaginal cream administration.

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A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse flush with water? (Select all that apply.)

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