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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Wooden building blocks are appropriate for an 18-month-old child, as they promote motor skills development, coordination, and creativity. At this age, children engage in parallel play and are developing their ability to manipulate objects.

B. Stringing beads requires more advanced fine motor skills that an 18-month-old child is not yet ready for. This activity is more appropriate for older children.

C. Colored paper and safety scissors could be a choking hazard for an 18-month-old child, and using scissors requires more advanced fine motor skills than most toddlers possess.

D. Alphabet flash cards are more suitable for older children, typically those who are 3 years and older, as they are better able to understand letters and begin to form associations with words.

A. Place the child in prone position to expose the posterior iliac crest. B. Position the child side-lying to expose the vertebrae. C. Place the child supine with legs flexed outward into a frog-like position. D. Position the child sitting with their buttocks at the edge of the table.

Correct Answer is A

Explanation

A. The posterior iliac crest is the typical site for bone marrow aspiration in children. Placing the child in the prone position allows for proper access to the site while ensuring the child remains safe and stable during the procedure.

B. Positioning the child side-lying would expose the vertebrae but is not an optimal position for accessing the iliac crest for bone marrow aspiration.

C. The frog-like position (supine with legs flexed outward) is not an appropriate position for a bone marrow aspiration, as it does not provide the best access to the iliac crest or posterior iliac crest.

D. Sitting with the buttocks at the edge of the table would not adequately expose the posterior iliac crest, making it unsuitable for bone marrow aspiration.

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A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?

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