A client has a gastrotomy tube in place. The health care provider ordered the medication p.o. Which action would be appropriate for the nurse to take?
Clarify the order with the charge nurse
Dilute the medication and administer by GT
Clarify the order with the health provider who wrote the order
Administer p.o as ordered
The Correct Answer is C
a) Clarifying the order with the charge nurse is not the correct action. The charge nurse may not be able to clarify medication orders and is not the primary contact for this issue.
b) Diluting and administering the medication by gastrostomy tube (GT) is inappropriate because the medication is ordered to be taken p.o. (by mouth), not via the tube.
c) Clarifying the order with the healthcare provider is the most appropriate step. A p.o. order is typically for oral administration, but the client has a gastrotomy tube. The nurse should clarify with the provider whether the medication can be crushed and administered via the tube or if a different route or medication form is necessary.
d) Administering the medication p.o. as ordered would not be appropriate if the client is unable to take oral medications. The nurse should verify the appropriate route of administration based on the patient's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Pregnancy Category B drugs are those for which animal studies have not shown harm to the fetus, but there are no well-controlled studies in pregnant women. This means that while the drug appears to be safe in animal models, its effects on human pregnancy remain uncertain.
b) This statement describes Pregnancy Category A, where adequate human studies have shown no risk to the fetus.
c) This statement describes Pregnancy Category D, where there is clear evidence of human fetal risk, but benefits may outweigh risks in certain situations.
d) This statement describes Pregnancy Category C, where animal studies have shown adverse effects, but there are no adequate human studies, and the drug may still be used if the benefits outweigh the risks.
Correct Answer is B
Explanation
A. Distribution refers to the movement of the drug from the bloodstream into tissues and organs, but it does not explain why only a portion of the medication reaches the tissues.
B. The first-pass effect occurs when an orally administered drug is metabolized by the liver before reaching systemic circulation. Aspirin, when taken orally, undergoes significant metabolism in the liver, reducing the amount of active drug available to exert its therapeutic effect. This explains why only a portion of the drug reaches the tissues.
C. Reduced absorption can limit drug availability, but aspirin is generally well absorbed in the gastrointestinal tract. The primary reason for reduced drug availability in this case is metabolism by the liver, not poor absorption.
D. Gastrointestinal circulation involves the enterohepatic recycling of some drugs, but it does not explain why only a portion of aspirin reaches systemic circulation. The first-pass effect is the primary factor.
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