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 A
Explanation
A. This response reassures the child that they are not to blame for the abuse and provides emotional support. It also establishes a sense of safety for the child to express their feelings.
B. Telling the child that they should have spoken up earlier may cause shame or guilt, which can further harm the child’s emotional well-being.
C. Promising not to tell anyone would be unethical because it is necessary to report suspected abuse to the appropriate authorities for the child's safety.
D. While this response acknowledges the injustice of the situation, it doesn't validate the child's feelings of fear or confusion in a way that encourages trust and healing.
Correct Answer is A
Explanation
A. A 2-year-old toddler should have more than six teeth by this age, and the eruption of only six teeth is a delay in expected development. Most children have 16 teeth by age 2.
B. Using two- or three-word phrases is appropriate for a 2-year-old and is a sign of normal language development.
C. Building a tower of six to seven cubes is an appropriate developmental milestone for a 2-year-old and indicates normal motor development.
D. Being able to pick up objects without falling is a normal gross motor skill for a 2-year-old.
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