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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Chilling the medication is not necessary for otic drops and could cause discomfort to the client.
B. Holding the dropper against the ear canal is not recommended as it may cause injury to the ear canal.
C. The external auditory canal should be straightened by pulling the ear upward and backward for an adult, which facilitates the drops to flow down into the ear canal.
D. Gentle pressure applied to the tragus of the ear can help in distributing the medication evenly within the ear canal.

A. Determine the client's response to the medication. B. Document that the medication was administered. C. Check the client for allergies. D. Mix the medication at the client's bedside.

Correct Answer is C

Explanation

A. Determining the client's response to the medication is important but should occur after ensuring the safety of administering the medication.
B. Documenting medication administration is necessary but should follow the safe administration process.
C. Checking the client for allergies is the first step to ensure the client can safely receive the medication, preventing adverse reactions.
D. Mixing the medication at the client's bedside may be necessary for some medications but is not the initial step in ensuring safe administration.

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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.)

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