A nurse is planning to administer several medications to a client through a nasogastric (NG) tube. Which of the following actions should the nurse take?

Mix the medications together and administer through the NG tube.

Crush the sublingual medication into powder form.

Dissolve crushed tablet medications in sterile water.

Flush the tube with 5 mL saline between each medication.

Answer and Explanation

The Correct Answer is C

A. Mix the medications together and administer through the NG tube. Incorrect because medications should be given separately to prevent drug interactions and ensure each is fully delivered.

B. Crush the sublingual medication into powder form. Incorrect because sublingual medications are designed to be absorbed through the oral mucosa, not the gastrointestinal tract. Crushing them negates their intended action.

C. Dissolve crushed tablet medications in sterile water. Sterile water is preferred for dissolving medications because it reduces the risk of bacterial contamination and prevents potential drug interactions that may occur with other fluids.

D. Flush the tube with 5 mL saline between each medication. Incorrect because a minimum of 15-30 mL of water is recommended between medications to prevent tube blockage.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Ask the client to describe their feelings. Encouraging the client to express their emotions allows the nurse to assess their concerns and provide appropriate support. This is a key principle of therapeutic communication.

B. Discuss the competency of the surgeon with the client. While the surgeon's competency may help reassure the client, the nurse should not comment on the surgeon’s skill. Instead, the nurse should focus on the client's emotions and provide factual information about the procedure if needed.

C. Inform the client that others have had the procedure without problems. This response dismisses the client’s concerns rather than addressing their feelings. Each client’s experience is unique, and reassurance should be based on listening and providing accurate information.

D. Ask the client why they are experiencing anxiety. Asking “why” can make the client feel defensive. Instead, the nurse should use open-ended questions, such as "Can you tell me more about your concerns?", which encourages discussion without judgment.

A. Smoking B. Alcohol consumption C. Inflammatory bowel disease D. High-fat diet E. Colorectal polyps

Correct Answer is ["A","B","D"]

Explanation

A. Smoking – Smoking increases the risk of colorectal cancer and can be changed.

B. Alcohol consumption – Alcohol use increases cancer risk and is modifiable.

C. Inflammatory bowel disease – This is a non-modifiable risk factor.

D. High-fat diet – Dietary habits can be changed to lower the risk.

E. Colorectal polyps – Polyps are a non-modifiable risk factor.

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A nurse is planning to administer several medications to a client through a nasogastric (NG) tube. Which of the following actions should the nurse take?

Nursing Test Bank

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