A nurse is planning to administer medications to a client who has a nasogastric tube. Which of the following actions should the nurse take?

Crush enteric-coated tablets before administration

Mix all medications together before administration

Flush the tube with 30 mL of water before and after administration

Administer medications in liquid form only

Answer and Explanation

The Correct Answer is C

Choice A reason: Crushing enteric-coated tablets destroys their protective layer, causing gastric irritation or premature drug release. This is contraindicated, making it an incorrect action for nasogastric administration.

Choice B reason: Mixing medications together risks incompatibility, clogging the tube or altering efficacy. Administering separately with flushing ensures safety, making this an incorrect and unsafe practice.

Choice C reason: Flushing the tube with 30 mL of water before and after administration clears the tube, ensuring patency and complete drug delivery. This standard practice prevents clogs, making it the correct action.

Choice D reason: While liquid medications are preferred, some drugs require crushing if safe. Flushing ensures delivery regardless of form, making liquid-only administration unnecessarily restrictive and incorrect.

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Correct Answer is A

Explanation

Choice A reason: Extra incandescent lighting improves visibility, reducing fall risk, especially for patients with impaired vision or mobility. Adequate lighting illuminates hazards, enhancing environmental safety, making this the best advice for a safer home.

Choice B reason: Throw rugs increase tripping hazards, particularly for mobility-impaired patients. They can slide or bunch, leading to falls, a leading injury cause, making this an unsafe recommendation for improving home safety.

Choice C reason: Painting the floor black and white may create visual confusion, especially for patients with cognitive or visual impairments, increasing fall risk. Contrasting colors may disorient, making this ineffective and hazardous.

Choice D reason: Handrails painted the same color as walls blend into the background, reducing visibility. Contrasting colors ensure handrails are noticeable, aiding safe mobility, making this an incorrect recommendation for safety.

A. Refer the patient to an ophthalmologist B. Clean around the ear and the ear canal C. Suggest the client buy reading glasses D. Install a blinking light for phone calls

Correct Answer is D

Explanation

Choice A reason: An ophthalmologist treats eye conditions, not hearing loss. Referring to an audiologist or ENT specialist is appropriate, making this incorrect for addressing the client’s new hearing impairment.

Choice B reason: Cleaning the ear canal may address wax buildup but is not the primary intervention for new hearing loss. Professional evaluation is needed first, making this less appropriate than adaptive devices.

Choice C reason: Reading glasses address vision, not hearing loss. This intervention is irrelevant to the client’s needs, as hearing loss requires auditory accommodations, making this an incorrect suggestion.

Choice D reason: Installing a blinking light for phone calls compensates for hearing loss by providing visual cues, enhancing communication safety. This adaptive device is appropriate, making it the correct intervention for discharge.

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A nurse is planning to administer medications to a client who has a nasogastric tube. Which of the following actions should the nurse take?

Nursing Test Bank

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