A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Flush the tube with water.

Measure stomach contents.

Elevate the head of the bed.

Return gastric content into the gastrostomy tube.

Answer and Explanation

The Correct Answer is B

A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication administration.

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Correct Answer is A

Explanation

A. Dorsal recumbent position (lying on the back with knees flexed and feet flat on the bed) allows for easy access to administer vaginal cream and is comfortable for the client.
B. Prone position (lying face down) is not suitable for administering vaginal cream.
C. Sims' position (lying on the left side with the upper knee flexed and raised towards the chest) is used for rectal examinations or enemas, not vaginal cream administration.
D. Orthopneic position (sitting upright or leaning forward to breathe easier) is not appropriate for vaginal cream administration.

A. Insomnia B. Constipation C. Blurred vision D. Bleeding

Correct Answer is D

Explanation

A. Insomnia is not typically associated with aspirin therapy.
B. Constipation is not a common adverse effect of aspirin.
C. Blurred vision is not a common adverse effect of aspirin.
D. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so monitoring for signs of bleeding (e.g., easy bruising, nosebleeds) is crucial.

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A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Correct Answer is A

Explanation

A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Correct Answer is D

Explanation

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