The pharmacy just delivered the sustained-release opioid tablets newly prescribed for a client with a gastrostomy tube. What should the nurse do when preparing to provide this medication to the client?
Crush the medication and administer it through the tube
Provide the medication orally for the client to swallow
Ask the healthcare provider to prescribe the medication as an elixir for tube administration
Dissolve the medication in water and administer it through the tube
The Correct Answer is C
A. Crush the medication and administer it through the tube: Crushing sustained-release medications can alter their release mechanism, leading to potential overdose or ineffective treatment. Sustained-release formulations should not be crushed.
B. Provide the medication orally for the client to swallow: This option is not appropriate because the client has a gastrostomy tube, and oral administration is not suitable for this route.
C. Ask the healthcare provider to prescribe the medication as an elixir for tube administration: This is the correct approach as it ensures the medication is in a form suitable for administration through the gastrostomy tube without altering its release properties.
D. Dissolve the medication in water and administer it through the tube: Dissolving sustained-release tablets is not recommended as it may compromise the medication's intended release mechanism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B"]
Explanation
B. Temperature 38.6°C (101.4°F): An elevated temperature in the postoperative period may indicate an infection, which requires immediate evaluation and management.
A. Heart rate 72 beats/min: This is within the normal range and does not indicate an urgent issue.
C. Surgical dressing dry and intact: This is a positive finding and does not require immediate attention.
D. Pain rating 3 out of 10: This level of pain is manageable and does not indicate a severe issue.
E. Limited ambulation: Limited ambulation is expected post-surgery and does not necessarily indicate an urgent problem.
Correct Answer is C
Explanation
A. Vomiting: Vomiting is a common symptom associated with metabolic acidosis but is not a compensatory mechanism. It can lead to further electrolyte imbalances and dehydration.
B. Tachycardia: Tachycardia can occur as a response to acidosis but is not a direct compensatory mechanism for metabolic acidosis.
C. Deep rapid breathing: This is the correct choice. Deep rapid breathing, or Kussmaul respirations, is a compensatory mechanism for metabolic acidosis. It helps to expel carbon dioxide, thereby reducing acidity in the blood.
D. Watery diarrhea: Diarrhea can contribute to electrolyte imbalances and may exacerbate acidosis but is not a compensatory response by the body.
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