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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Correct Answer is A

Explanation

A. "I should apply clean dressings over the top of blood-saturated dressings and hold pressure.” This prevents disruption of clot formation and controls bleeding.

B. "I can clean wounds with hydrogen peroxide.” Hydrogen peroxide can damage healthy tissue and delay healing.

C. "I can carefully remove the object from a penetrating wound.” Objects should be left in place until medical professionals remove them.

D. "I should place the affected area in a dependent position.” Elevating an injured limb helps reduce swelling and bleeding.

A. Remove a piece of the new dressing that falls 5 cm (2 in) from the edge of the sterile field during the dressing change. B. Begin the dressing change by applying sterile gloves and removing the existing dressing. C. Restart the procedure if the sterile solution splashes onto the sterile field when pouring the solution into the dressing tray. D. Place the existing dressing on the outermost portion of the sterile field and discard it when the dressing change is finished.

Correct Answer is C

Explanation

A. Remove a piece of the new dressing that falls 5 cm (2 in) from the edge of the sterile field during the dressing change. Incorrect, as the item is contaminated and should not be used.

B. Begin the dressing change by applying sterile gloves and removing the existing dressing. The old dressing should be removed with clean gloves before donning sterile gloves.

C. Restart the procedure if the sterile solution splashes onto the sterile field when pouring the solution into the dressing tray. Any contamination of the sterile field requires a complete restart to maintain sterility.

D. Place the existing dressing on the outermost portion of the sterile field and discard it when the dressing change is finished. Contaminates the sterile field; old dressings should be disposed of immediately.

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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?

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