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 C

Explanation

A. Decreased temperature is a symptom of hypothyroidism, not hyperthyroidism which would indicate an overdose of levothyroxine.
B. Weight gain is more commonly associated with hypothyroidism, not hyperthyroidism caused by an overdose of levothyroxine.
C. Tachycardia (rapid heart rate) is a classic sign of hyperthyroidism, which can occur if the client's dose of levothyroxine is too high.
D. Bradypnea (slow breathing) is not typically associated with thyroid hormone overdosage.

A. "I will have to increase my vitamin K because it is a common deficiency with this drug" B. "I will need to be careful shaving and should switch to an electric razor" C. "When I go for any procedures using iodine contrast I will need to let me doctor know I'm on this drug D. "I need to check my pulse for a full minute before taking"

Correct Answer is C

Explanation

A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.

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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

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Explanation

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Correct Answer is C

Explanation

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