A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?
Crush sustained-release tablets prior to administration.
Allow medications to flow into the tube by gravity.
Flush the tube with 2 mL sterile water after all medications are administered.
Mix all the medications together prior to administration.
The Correct Answer is B
A. Crushing sustained-release tablets is not recommended because it can alter the medication's intended effect, releasing it all at once, which can be dangerous for the child.
B. Allowing medications to flow into the tube by gravity is the correct method. It ensures the medication is delivered slowly and effectively, preventing the tube from clogging and ensuring proper absorption.
C. Flushing the tube with 2 mL of sterile water is insufficient after all medications are administered. Typically, the tube should be flushed with 15-30 mL of water before and after medication administration to ensure patency.
D. Mixing all medications together is not recommended because different medications may have incompatible properties, and mixing them could alter their effectiveness or cause adverse reactions. Each medication should be administered separately.
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Related Questions
Correct Answer is D
Explanation
A. Positioning the child on their back is not recommended, as it could increase the risk of aspiration. It's safer to hold the child in an upright position or slightly reclined, supporting the head and neck.
B. Adding medication to formula or food is not advisable, as the child may not ingest the full dose, and it might not be effective if the child doesn't finish the bottle.
C. While cold may help with taste, it could be difficult for a 1-year-old to handle ice, and it may not effectively improve medication administration.
D. Placing the medication along the side of the child's tongue helps prevent the gag reflex and encourages the child to swallow it more easily, ensuring proper administration.
Correct Answer is C
Explanation
A. Aspirin is contraindicated for children due to the risk of Reye's syndrome, a potentially fatal condition associated with aspirin use in children under the age of 18.
B. Administering acetaminophen at this frequency could result in overdose or liver damage, especially in children. Acetaminophen should be given at appropriate intervals (usually every 4–6 hours) as per the prescribed dosage.
C. Lowering the temperature of the room can help reduce the child’s fever without overcooling. A comfortable room temperature helps to prevent further heat retention and promotes the child's comfort.
D. An ice bath can cause shivering, which could raise the body temperature and cause additional harm. It is not recommended for fever reduction in children.
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