A nurse is preparing to administer medication to a child through an enteral tube. Which of the following actions should the nurse take after administering the medication?

Flush the tubing.

Clamp the tubing

Check patency of the tubing

Aspirate the tubing

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

The first action the nurse should take is to reevaluate the client's response to the medication in 30 min. Hydromorphone has an onset of action of 15 to 30 minutes when taken orally ¹. Therefore, it may take some time for the medication to reach its full eﬀect.

Option a is incorrect because it may not be necessary to contact the provider for more pain medication until after reevaluating the client's response to the medication.

Option b is incorrect because teaching relaxation techniques may not provide immediate relief for acute pain.

Option c is incorrect because documenting the client's reaction to the administration of medication should be done after reevaluating their response to the medication.

A. Monitor the client's vital signs every 8 hours B. Reposition the endotracheal tube every 12 hours. C. Place the client in a supine position. D. Perform oral care every 2 hours

Correct Answer is D

Explanation

Performing oral care every 2 hours is an important nursing intervention for a client receiving mechanical ventilation via an endotracheal tube. This helps to reduce the risk of ventilator-associated pneumonia.

a) Monitoring the client's vital signs is important, but it should be done more frequently than every 8 hours.

b) Repositioning the endotracheal tube is not necessary unless there is a specific indication.

c) Placing the client in a supine position is not recommended as it increases the risk of aspiration.

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A nurse is preparing to administer medication to a child through an enteral tube. Which of the following actions should the nurse take after administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is postoperative and received hydromorphone 4 mg PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale." Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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