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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Determining the means of evacuation requires understanding the facility's evacuation protocols, coordinating with authorities, and ensuring the safety of residents, which typically falls under the responsibility of the nursing staff, including the practical nurse (PN).
B. Closing fire doors and residents' room doors can be part of fire safety protocols and may involve the immediate safety response handled by both nursing staff and facility personnel.
C. Assisting wandering residents and offering comfort and reassurance to distraught residents can be tasks shared among nursing and support staff to ensure resident safety and well-being during an emergency situation.
Correct Answer is B
Explanation
A. Documenting the client's understanding is important, but correcting the misconception about the use of the eye drops is the immediate priority.
B. Reminding the client about the intended action of the eye drops helps clarify their purpose in managing glaucoma by reducing intraocular pressure.
C. Assessing the intensity of eye pain using a numerical pain scale might not be necessary in this context as the client's misconception about the eye drops needs correction.
D . Clarifying that eye pain in glaucoma is uncommon does not address the client's misunderstanding about the purpose of the pilocarpine eye drops.
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