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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Guaifenesin works as an expectorant by stimulating and thinning respiratory tract secretions, making it easier for the client to cough up and clear mucus from the airways.
B. Suppressing the urge to cough is the action of antitussive medications, not expectorants like guaifenesin.
C. Guaifenesin does not have significant anti-inflammatory properties; its primary action is on mucus clearance.
D. Drying mucous membranes is not the mechanism of action for guaifenesin; it focuses on facilitating mucus removal.

A. Aspirate the injection after inserting the needle. B. Inject the insulin 2.5 cm (1 in) from the client's naval. C. Administer the insulin into a muscle. D. Gently roll the insulin vial to mix.

Correct Answer is D

Explanation

A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is going to take guaifenesin, an expectorant, to help manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

Correct Answer is A

Explanation

A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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