Before delivering a drug through an enteral tube, it is most important for the nurse to do which of the following FIRST?
Instill 5 ml of water to rinse the tube.
Check the tube placement.
Lay the client flat.
Assess the client's bowel sounds.
The Correct Answer is B
Choice A rationale
Instilling water to rinse the tube is an important step after medication administration or prior to administering incompatible medications, but it is not the initial and most crucial step before delivering any drug. Placement verification is paramount.
Choice B rationale
Scientifically, confirming tube placement is the absolute first and most critical step before administering any substance, including medication, through an enteral tube. Misplaced tubes can lead to aspiration pneumonia or inefficient drug absorption, posing significant patient safety risks.
Choice C rationale
Laying the client flat may increase the risk of aspiration, especially if the tube is misplaced or if the client has impaired gag reflex. Proper positioning, typically semi-Fowler's, is crucial for safe enteral feeding and medication administration.
Choice D rationale
Assessing bowel sounds is important for evaluating gastrointestinal motility and absorption capacity before initiating or continuing enteral feedings, but it is not the primary immediate safety check required before administering a single dose of medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["147.9"]
Explanation
Step 1: Convert fluid ounces to milliliters. 1 fl. oz = 29.5735 mL.
Step 2: Multiply the given fluid ounces by the conversion factor. 5 fl. oz × 29.5735 mL/fl. oz = 147.8675 mL.
Step 3: Round the answer to the nearest tenth. 147.9 mL.
Correct Answer is D
Explanation
Choice A rationale
Allergic reactions involve the body's immune system producing antibodies, not antigens, in response to a specific drug perceived as a foreign substance. Antigens are typically the foreign substances that trigger the immune response. This sensitization leads to the release of inflammatory mediators upon subsequent exposure.
Choice B rationale
Allergic reactions can occur at any time, including on initial exposure or after repeated exposures to a drug, not solely after discontinuation. The immune system's memory allows for a rapid response upon re-exposure, even if discontinued for a period.
Choice C rationale
Allergic drug reactions are inherently unpredictable due to individual variability in immune responses and sensitization. While certain drug classes are more commonly associated with allergies, a specific individual's reaction cannot be foreseen.
Choice D rationale
Allergic drug reactions manifest through a wide spectrum of signs and symptoms, varying from mild dermatological reactions like urticaria and rash to severe, life-threatening anaphylaxis involving multiple organ systems, including respiratory and cardiovascular compromise.
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.