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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Hospice: Hospice provides holistic care focused on comfort and quality of life for clients with terminal illnesses, addressing physical, emotional, spiritual, and psychosocial needs at the end of life. It supports both patients and their families through symptom management and counseling.

B. Primary Care: Primary care focuses on general health maintenance, prevention, and management of chronic conditions, not specifically end-of-life care. It plays a key role in health promotion and disease prevention across the lifespan.

C. Rehabilitation: Rehabilitation aims to restore function and independence after illness or injury, rather than providing end-of-life support. Therapy in this setting is goal-directed and focuses on improving physical or cognitive abilities.

D. Acute Care: Acute care delivers short-term treatment for urgent or severe medical conditions, prioritizing stabilization over holistic end-of-life care. This setting often involves intensive monitoring and interventions to manage life-threatening issues.

A. Include more cheese in the diet B. Include more canned vegetables in the diet C. include more bananas in the diet D. Include more bread in the diet

Correct Answer is C

Explanation

A. Include more cheese in the diet: While cheese is a good source of calcium and protein, it is not a significant source of potassium and therefore does not help correct hypokalemia.

B. Include more canned vegetables in the diet: Canned vegetables may be low in potassium and often high in sodium, which can worsen fluid balance issues in older adults and do not effectively treat hypokalemia.

C. Include more bananas in the diet: Bananas are naturally rich in potassium, making them an excellent dietary choice for helping to restore potassium levels in clients with hypokalemia. They are also easy to include in meals or snacks.

D. Include more bread in the diet: Bread is a source of carbohydrates but contains minimal potassium, so increasing its intake does not support potassium replacement in hypokalemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nurses who assist clients to deal holistically with their health care needs at the end of their lives work primarily in which health care delivery system?

Correct Answer is A

Explanation

An older adult client with hypokalemia is being discharged to the home of a caregiver. Which information should the nurse include in the family teaching?

Correct Answer is C

Explanation

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