A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube.
Which of the following actions should the nurse take?
Dissolve the medication in 30 mL of water.
Maintain the client in the supine position during medication administration.
Add the medication to the enteral feeding formula.
Flush the tube with 5 mL of water after administering the medication.
The Correct Answer is A
Choice A rationale:
Dissolving the medication in 30 mL of water is the correct action. This ensures that the medication is in a suitable form for administration via an NG tube and helps prevent the tube from becoming blocked.
Choice B rationale:
Maintaining the client in the supine position during medication administration is not recommended. This position increases the risk of aspiration. Instead, the client should be in an upright position during medication administration and for at least 30 minutes afterward.
Choice C rationale:
Adding the medication to the enteral feeding formula is not recommended. This can alter the effectiveness of the medication and can also clog the feeding tube.
Choice D rationale:
Flushing the tube with 5 mL of water after administering the medication is not enough. The tube should be flushed with at least 15-30 mL of water before and after medication administration to ensure that the entire dose has been administered and to prevent clogging of the tube.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.
Choice B rationale:
Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.
Choice C rationale:
The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.
Choice D rationale:
The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.
Correct Answer is B
Explanation
Choice A rationale:
Hydrochlorothiazide is a diuretic medication and does not interfere with the absorption of tetracycline.
Choice B rationale:
Antacids can interfere with the absorption of tetracycline, reducing its effectiveness. Therefore, they should be taken 3 hours before or after taking tetracycline.
Choice C rationale:
Lovastatin is a lipid-lowering medication and does not interfere with the absorption of tetracycline.
Choice D rationale:
Acetaminophen is an analgesic and does not interfere with the absorption of tetracycline.
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