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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lecture involves one-way communication where information is delivered by the nurse to the client without active participation. It does not confirm understanding or assess learning through client feedback.
B. Question and answer involves the nurse posing questions to assess understanding but may not actively involve the client in demonstrating knowledge or skills.
C. Teach-back is an effective teaching method where the nurse asks the client to explain the procedure back in their own words. This technique helps assess the client's understanding, clarify information, and reinforce learning, promoting patient empowerment and adherence to treatment plans.
D. Role play involves simulating scenarios to practice skills or behaviors, which may not directly assess the client's understanding of a specific procedure.
Correct Answer is B
Explanation
A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.
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