A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse flush with water? (Select all that apply.)
Prior to administering medications
After each medication
After giving multiple medications
Before aspirating gastric contents
After administering a sublingual medication
Correct Answer : A,B,C
A. Flushing with water before administering medications helps ensure the tube is clear and free from residual medications.
B. Flushing after each medication ensures the medication is delivered completely into the stomach and minimizes drug interactions.
C. Flushing after giving multiple medications helps clear the tube and prevents potential interactions between different medications.
D. Flushing before aspirating gastric contents helps ensure accurate assessment and prevents contamination of samples.
E. Flushing after administering a sublingual medication is not necessary for a gastrostomy tube, as it is specific to oral medication administration.
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Related Questions
Correct Answer is D
Explanation
A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.
Correct Answer is B
Explanation
A. Using lotion on irritated skin before applying a new patch may interfere with adhesion and absorption of the medication, indicating a misunderstanding of proper patch application.
B. Cleaning and drying the area before applying a transdermal patch ensures proper adhesion and absorption of medication, demonstrating correct understanding of patch application technique.
C. Pressing the patch securely in place is important, but it does not address the initial preparation of the skin, which is crucial for effective medication delivery.
D. Applying a new patch in the same location without cleaning the area may lead to skin irritation or uneven absorption of medication, indicating improper understanding of patch application.
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