A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)
crush each tablet and mix with 20-30 mL of water or saline.
use liquid medications when available.
mix all medications, dilute with water and give them together.
flush tube before beginning medication administration with 20-30 mL of water or saline.
add medications directly to the tube feeding formula.
Correct Answer : B,D
B. Liquid medications are generally preferred for administration through a feeding tube, as they do not require crushing or dissolving and can be easily administered. Using liquid medications reduces the risk of tube occlusion and ensures accurate dosing. Therefore, this procedure is appropriate for medications available in liquid form.
D. Flushing the tube before medication administration helps ensure patency and clears any residual feeding formula or medication from the tube. This step is essential to prevent clogging of the tube and ensure that the medication reaches the stomach or intestines. Therefore, flushing the tube with water or saline before medication administration is a standard procedure.
A. Crushing tablets and mixing them with water or saline can help ensure that the medication is in a form that can be administered through the gastrostomy tube. However, not all tablets are suitable for crushing, as some medications may have special formulations or coatings that should not be crushed.
Therefore, this procedure is appropriate for medications that are safe to crush and administer via a feeding tube.
C. Mixing medications can potentially alter their effectiveness or stability, so it is essential to follow guidelines and recommendations for medication administration through feeding tubes.
E. Adding medications directly to the tube feeding formula may be appropriate for certain medications that are compatible with the formula and do not require separate administration. However, not all medications can be safely mixed with feeding formula, as some medications may interact with the formula components or become less effective.
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Related Questions
Correct Answer is B
Explanation
B. Utilizing an interpreter allows for direct verbal communication between the nurse and the client in their primary language. This ensures accurate transmission of information and facilitates a better understanding of complex concepts. An interpreter can help bridge the language gap and facilitate effective communication during the teaching process.
A. Demonstrations can be effective for teaching clients, regardless of language barriers, as they rely on visual cues and hands-on learning. By demonstrating a procedure or technique and then asking the client to perform a return demonstration, the nurse can assess the client's understanding and competency. This method can be particularly useful when language barriers are present because it relies less on verbal communication.
C. Visual teaching aids, such as diagrams, pictures, charts, and videos, can be powerful tools for conveying information to clients with different primary languages. Visual aids are universal and can help overcome language barriers by presenting information in a way that is easily understood regardless of language proficiency. Using visual aids can enhance comprehension and retention of key concepts.
D. Providing written materials in the client's primary language can be helpful for reinforcing verbal instructions and providing reference materials for the client to review independently. Written materials allow clients to review information at their own pace and refer back to it as needed. However, it's important to ensure that the written materials are accurately translated and culturally appropriate for the client.
Correct Answer is A
Explanation
A. Confidentiality refers to the ethical duty of healthcare providers to safeguard patient information and maintain privacy. Upholding confidentiality means that healthcare providers must not disclose sensitive information about a patient to unauthorized individuals without the patient's consent. In this scenario, if the client asks the nurse not to disclose their medical diagnosis to their family members, respecting this request would uphold the principle of confidentiality by protecting the privacy of the patient's health information.
B. Justice in healthcare refers to the fair and equitable distribution of resources and the provision of healthcare services. While justice is an important ethical principle, it is not directly applicable to the client's request regarding the disclosure of their medical diagnosis to their family members.
C. Veracity, also known as truthfulness, is the ethical principle of honesty and truthfulness in communication with patients. Upholding veracity means providing patients with accurate and truthful information about their health condition and treatment options. In this scenario, if the nurse complies with the client's request not to disclose their medical diagnosis to their family members, it may involve withholding information and not fully disclosing the truth to the family members. Therefore, upholding the client's request may conflict with the principle of veracity.
D. A healthcare proxy is a legal document that allows an individual (the proxy) to make healthcare decisions on behalf of another person (the principal) if the principal is unable to make decisions for themselves. The existence of a healthcare proxy does not directly relate to the client's request regarding the disclosure of their medical diagnosis to their family members.
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