A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?
Crush sustained-release tablets prior to administration.
Allow medications to flow into the tube by gravity.
Flush the tube with 2 mL sterile water after all medications are administered.
Mix all the medications together prior to administration.
The Correct Answer is B
A. Crushing sustained-release tablets is not recommended because it can alter the medication's intended effect, releasing it all at once, which can be dangerous for the child.
B. Allowing medications to flow into the tube by gravity is the correct method. It ensures the medication is delivered slowly and effectively, preventing the tube from clogging and ensuring proper absorption.
C. Flushing the tube with 2 mL of sterile water is insufficient after all medications are administered. Typically, the tube should be flushed with 15-30 mL of water before and after medication administration to ensure patency.
D. Mixing all medications together is not recommended because different medications may have incompatible properties, and mixing them could alter their effectiveness or cause adverse reactions. Each medication should be administered separately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weighing the child weekly is not an appropriate intervention for managing acute diarrhea, as it does not address the immediate concern of dehydration or infection.
B. Keeping the child NPO for 12 hours is generally not recommended unless the child is severely dehydrated or vomiting, as it could lead to further dehydration. Hydration and appropriate refeeding are important in managing diarrhea.
C. A stool culture can help determine the cause of diarrhea (such as bacterial infection) and guide appropriate treatment. This is a priority in determining the underlying cause of the child's symptoms.
D. Offering apple juice is not recommended for diarrhea, as high fructose content can worsen diarrhea. Oral rehydration solutions (ORS) or clear fluids are more appropriate.
Correct Answer is B
Explanation
A. A decreased white blood cell (WBC) count in the cerebrospinal fluid (CSF) would not support the diagnosis of bacterial meningitis. Bacterial infections typically cause an increased WBC count, specifically neutrophils.
B. Elevated total protein in the CSF is a classic finding in bacterial meningitis, as the infection leads to increased permeability of the blood-brain barrier and results in an increase in protein content.
C. Elevated glucose in the CSF is not consistent with bacterial meningitis. In bacterial meningitis, glucose levels are usually decreased due to the consumption of glucose by bacteria.
D. Decreased pressure in the CSF is not typical in bacterial meningitis. Increased intracranial pressure often results in elevated CSF pressure.
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