A nurse is planning to administer several medications to a client through a nasogastric (NG) tube. Which of the following actions should the nurse take?
Mix the medications together and administer through the NG tube.
Crush the sublingual medication into powder form.
Dissolve crushed tablet medications in sterile water.
Flush the tube with 5 mL saline between each medication.
The Correct Answer is C
A. Mix the medications together and administer through the NG tube. Incorrect because medications should be given separately to prevent drug interactions and ensure each is fully delivered.
B. Crush the sublingual medication into powder form. Incorrect because sublingual medications are designed to be absorbed through the oral mucosa, not the gastrointestinal tract. Crushing them negates their intended action.
C. Dissolve crushed tablet medications in sterile water. Sterile water is preferred for dissolving medications because it reduces the risk of bacterial contamination and prevents potential drug interactions that may occur with other fluids.
D. Flush the tube with 5 mL saline between each medication. Incorrect because a minimum of 15-30 mL of water is recommended between medications to prevent tube blockage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Presence of WBCs in urine : This suggests a possible infection, not necessarily a blockage.
B. Cloudy urine : This may indicate an infection but is not specific for occlusion.
C. Urinary urgency: A client with a catheter should not experience urgency since urine continuously drains.
D. Bladder distention: If the catheter is occluded, urine will accumulate in the bladder, leading to distention.
Correct Answer is B
Explanation
A. "I need to have an attorney sign my advance directives." An attorney is not required to sign an advance directive. The document typically requires the client’s signature and witnesses but does not need legal counsel unless state laws specify otherwise.
B. "I have a living will that outlines my wishes if I am unable to make decisions." A living will is a type of advance directive that specifies the client’s preferences for medical care if they become unable to make decisions. This statement shows understanding.
C. "I must have a family member appointed to make my health care decisions." While a client can appoint a family member as a healthcare proxy, it is not required. The client may choose any trusted individual to act as their healthcare power of attorney.
D. "I will need to sign a document stating that I want to be resuscitated if I require CPR." A Do Not Resuscitate (DNR) order is signed when a client chooses not to receive CPR. If the client wants resuscitation, no additional documentation is required—healthcare providers automatically provide life-saving measures unless a DNR order is in place.
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