The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?

Demonstrate how to administer medication via a feeding tube.

Confirm that the medication is only administered once daily.

Determine if the medication is compatible with the solution.

Oﬀer to assist in calculating the rate of ﬂow for the mixture.

Answer and Explanation

The Correct Answer is A

The picture shows that the newly hired PN is about to make a serious error by adding the medication directly to the feeding bag, which can cause clogging, contamination, or inaccurate dosing of the medication. The PN should demonstrate how to administer medication via a feeding tube correctly, which involves stopping the feeding, ﬂushing the tube with water, instilling the medication, ﬂushing again, and resuming the feeding.

The other options are not correct because:

B. Confirming that the medication is only administered once daily is not relevant or helpful, as it does not address the error or teach the correct technique of administering medication via a feeding tube.

C. Determining if the medication is compatible with the solution is not necessary or appropriate, as the medication should not be mixed with the solution in the first place, but given separately through the feeding tube.

D. Oﬀering to assist in calculating the rate of ﬂow for the mixture is not relevant or helpful, as there should be no mixture of medication and solution in the feeding bag, but separate administration of each through the feeding tube.

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Correct Answer is D

Explanation

A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.

A. "We can never tell. People with cancer react differently to chemotherapy." B. "It depends on the amount of drug you receive with your particular treatment." C. "Hair loss is not usually permanent, but the color and texture may change when it grows back." D. "It is likely that your hair will grow back, but if it does not there are very good wigs available."

Correct Answer is C

Explanation

A. This response offers uncertain information without giving much reassurance or accurate details about the typical outcome of hair loss post-chemotherapy.
B. This response doesn't address the usual outcome of hair regrowth after chemotherapy and focuses on treatment dosage rather than the nature of hair loss.
C. "Hair loss is not usually permanent, but the color and texture may change when it grows back." This response offers a balanced and accurate explanation, providing reassurance about potential hair regrowth while acknowledging possible changes in hair characteristics.
D. While offering information about wigs, this response doesn't directly address the likelihood of hair regrowth after chemotherapy and focuses on alternatives rather than the expected outcome.

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The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately?

Correct Answer is D

Explanation

A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the

Correct Answer is C

Explanation

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