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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Performing the final medication check at the time of documentation may result in errors if there are discrepancies between the prescription and what is documented.
B. Checking the medication in the area where it was obtained may not ensure accuracy regarding patient identity, dose, or route before administration.
C. Reviewing the provider's prescription at the nurses' station is important but should not replace the final bedside check immediately before administration.
D. Performing the final medication check at the client's bedside ensures accuracy and patient safety by verifying the correct medication, dose, route, and patient identity directly before administration.
Correct Answer is C
Explanation
Answer: C
A. Ensuring fluid and electrolyte balance is maintained is an important aspect of patient care but is not the primary reason for flushing the feeding tube between medications.
B. While giving the patient fluid intake is beneficial, the primary purpose of flushing the tube between medications is to prevent interactions between different medications.
C. Flushing the feeding tube with water between medication administrations helps prevent interactions between medications that may be incompatible, ensuring each medication is delivered effectively and safely.
D. This option is incorrect because flushing the tube between medications serves a specific purpose related to medication administration and safety.
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