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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A urine output of 600 mL in 8 hours is within the normal range. The average urine output for adults is about 1 to 2 liters per day.
Choice B rationale:
Clonidine is an antihypertensive medication. If the client’s blood pressure is already low (88/50 mm Hg), administering clonidine could further lower the blood pressure and cause hypotension.
Choice C rationale:
A heart rate of 110/min is slightly high, but it’s not a direct indication to withhold clonidine. Clonidine can actually help lower an elevated heart rate by reducing the levels of certain chemicals in your blood.
Choice D rationale:
A blood glucose level of 70 mg/dL is at the lower end of the normal range (70-100 mg/dL) However, clonidine does not directly affect blood glucose levels, so this would not be a reason to withhold the medication.
Correct Answer is C
Explanation
Choice A rationale:
Blurred vision is not a common side effect of the meningococcal conjugate vaccine.
Choice B rationale:
Tinnitus, or ringing in the ears, is also not a common side effect of this vaccine.
Choice C rationale:
Headache is a common side effect of the meningococcal conjugate vaccine.
Choice D rationale:
Dry mouth is not typically associated with this vaccine.
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