The nurse is preparing to administer a medication via a nasogastric tube. Which guideline is appropriate for the nurse to follow when administering a drug via this route?
If connected to suction, do not reconnect to suction for 5 minutes after drug administration.
Administer the medication at a cold temperature
Position the client supine prior to administering the drug
Flush the tube with water between each drug administered
The Correct Answer is D
A. If connected to suction, do not reconnect to suction for 5 minutes after drug administration: The nurse should actually clamp or disconnect suction during and for at least 30 minutes after administration to allow absorption, so 5 minutes is insufficient.
B. Administer the medication at a cold temperature: Medications should be administered at room temperature to prevent gastric discomfort or cramping. Cold medications can cause nausea or spasms.
C. Position the client supine prior to administering the drug: The client should be positioned upright or with the head of the bed elevated (at least 30–45 degrees) to reduce risk of aspiration during administration.
D. Flush the tube with water between each drug administered: Flushing the nasogastric tube with water before, between, and after medications prevents clogging and ensures proper delivery of each drug and helps prevent drug incompatibilities.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lung sounds: While important for respiratory assessment, lung sounds are not directly affected by diarrhea or dehydration unless complications such as aspiration or infection develop, which are less common in this context.
B. Activity level: Changes in activity may occur due to weakness or fatigue caused by fluid and electrolyte imbalances, but this is a less specific and less immediate indicator of dehydration risk.
C. Skin turgor: Assessing skin turgor helps evaluate hydration status. Poor skin turgor indicates fluid loss and dehydration, which is a common risk with prolonged diarrhea and can lead to more serious complications if untreated.
D. Heart sounds: Heart sounds can reveal cardiac abnormalities, but they are not the primary focus in assessing dehydration. However, monitoring heart rate and rhythm can provide additional information about circulatory status in severe cases.
Correct Answer is "{\"xRanges\":[68.5593220338983,73.64406779661016],\"yRanges\":[55.125507581698336,62.88966357912063]}"
Explanation
The sacrum is the most susceptible area for pressure injuries because it bears a significant amount of body weight when a client lies in a supine position for extended periods. This is because it is a bony prominence with minimal cushioning, so pressure is not well-distributed, increasing the risk of skin breakdown. Immobile clients also often remain in the same position for long periods, leading to reduced blood flow (ischemia) to the area. The sacral area is also commonly exposed to moisture from urine or feces in incontinent clients, which weakens the skin and increases the risk of injury.
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