A nurse is preparing to administer three medications to a child who is receiving continuous enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take?
Flush the gastrostomy tube with 10 mL of formula between each medication.
Dilute viscous medications with water.
Add the medications to the bag of formula.
Combine the medications together in one syringe.
The Correct Answer is B
A. Flushing the gastrostomy tube with 10 mL of formula between each medication is incorrect. The nurse should flush the tube with sterile water, not formula, to prevent interactions between the medication and formula, which could cause clogging or reduced medication effectiveness.
B. Diluting viscous medications with water is correct. Thick or viscous medications should be diluted with water to facilitate easier administration through the gastrostomy tube and prevent clogging. This ensures proper delivery of the medication to the gastrointestinal tract.
C. Adding the medications to the bag of formula is incorrect. Medications should never be mixed directly into enteral feeding formula, as they may cause interactions, alter medication absorption, or clog the feeding tube. Each medication should be administered separately.
D. Combining the medications together in one syringe is incorrect. Medications should be administered separately to avoid potential drug interactions, altered medication absorption, and tube blockage. Each medication should be given individually, followed by flushing with water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
- A. Acute glomerulonephritis is a condition that can develop following a streptococcal infection, leading to inflammation of the kidneys. Symptoms like puffiness around the eyes, tea-colored urine, and lethargy are indicative of this disease.
- 1) Recent strep infection and the presence of tea-colored urine are key indicators of acute glomerulonephritis. The tea-colored urine suggests hematuria, which is often associated with this condition after a streptococcal infection.
Correct Answer is B
Explanation
A. Flushed skin is incorrect. Hypoglycemia typically causes pale, clammy skin due to the body's stress response. Flushed skin is more commonly associated with hyperglycemia.
B. Headache is correct. Hypoglycemia can cause neurological symptoms such as headache, dizziness, confusion, and irritability due to a lack of glucose available for brain function.
C. Fruity breath odor is incorrect. A fruity or acetone-like breath odor is a sign of diabetic ketoacidosis (DKA), which occurs with hyperglycemia, not hypoglycemia.
D. Thirst is incorrect. Increased thirst (polydipsiA. is a symptom of hyperglycemia due to excess glucose in the bloodstream drawing water out of the cells, leading to dehydration. Hypoglycemia does not typically cause excessive thirst.
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