A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube.
Which of the following actions should the nurse take?

Dissolve the medication in 30 mL of water.

Maintain the client in the supine position during medication administration.

Add the medication to the enteral feeding formula.

Flush the tube with 5 mL of water after administering the medication.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Dissolving the medication in 30 mL of water is the correct action. This ensures that the medication is in a suitable form for administration via an NG tube and helps prevent the tube from becoming blocked.

Choice B rationale:

Maintaining the client in the supine position during medication administration is not recommended. This position increases the risk of aspiration. Instead, the client should be in an upright position during medication administration and for at least 30 minutes afterward.

Choice C rationale:

Adding the medication to the enteral feeding formula is not recommended. This can alter the effectiveness of the medication and can also clog the feeding tube.

Choice D rationale:

Flushing the tube with 5 mL of water after administering the medication is not enough. The tube should be flushed with at least 15-30 mL of water before and after medication administration to ensure that the entire dose has been administered and to prevent clogging of the tube.

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Correct Answer is C

Explanation

Choice A rationale:

Rifampin does not typically cause insomnia.

Choice B rationale:

Rifampin can cause a red or orange discoloration of body fluids, including urine, not blue or green.

Choice C rationale:

It is recommended to take rifampin on an empty stomach, either 1 hour before or 2 hours after a meal.

Choice D rationale:

Unusual hair growth is not a known side effect of rifampin.

A. Use a tuberculin syringe. B. Inject air into each vial. C. Withdraw the NPH insulin first. D. Shake the regular insulin vial.

Correct Answer is B

Explanation

Choice A rationale:

While a tuberculin syringe can be used for insulin administration, it’s not necessary when mixing NPH and regular insulin. Insulin syringes are typically used for this purpose.

Choice B rationale:

Injecting air into each vial before withdrawing insulin helps equalize pressure and makes it easier to draw up the insulin. This should be done before withdrawing any insulin.

Choice C rationale:

Withdrawing NPH insulin first contradicts the standard practice of drawing up insulins. The usual recommendation is to draw up short-acting (regular) insulin before intermediate-acting (NPH) insulin.

Choice D rationale:

Shaking the regular insulin vial is unnecessary and could potentially create bubbles, making it harder to draw up the correct dose of insulin.

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A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin.Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is preparing to mix NPH insulin and regular insulin for administration.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube.
Which of the following actions should the nurse take?