A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?
Flush the tube with water.
Measure stomach contents.
Elevate the head of the bed.
Return gastric content into the gastrostomy tube.
The Correct Answer is B
A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationales:
A. Pulling the auricle upward and backward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.
B. Pulling the auricle upward and outward is appropriate when administering eardrops to clients >3years old helps straighten the ear canal, allowing for proper administration of the medication into the ear canal for effective treatment.
C. According to the American Academy of Pediatrics, for children under the age of 3, the correct method is to gently pull the outer flap of the affected ear downward and backward. This maneuver helps to straighten the ear canal, allowing the eardrops to flow down into the canal properly.
D. Pulling the auricle down and outward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.
Correct Answer is D
Explanation
A. Asking the patient to use the bathroom is unrelated to the administration of nasal spray and is not necessary.
B. Instructing the patient to look up at the ceiling is not required for nasal spray administration and does not facilitate the process.
C. Asking the patient to take a deep breath is not directly related to the administration of nasal spray and does not affect its effectiveness.
D. Asking the patient to blow his/her nose to clear the nasal passages is important before administering nasal spray. Clearing nasal passages helps ensure that the medication can reach the nasal mucosa effectively, improving absorption and efficacy of the spray.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.