A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)

. Combine the medications with the formula in the feeding bag:

Combining medications with the enteral feeding formula in the feeding bag is not recommended as it may alter the medication's efficacy or stability. Additionally, mixing medications with the feeding formula could result in interactions between the medications or between the medications and the formula components.

B. Dilute each crushed medication with warm water:

While diluting crushed medications with warm water may facilitate administration through the NG tube, it is not always necessary or appropriate for all medications. Dilution should be done according to specific medication guidelines or manufacturer recommendations. Some medications may not require dilution, while others may require a specific diluent or method of administration.

C. Flush the NG tube with 5 mL of sterile water for irrigation prior to administration.

Flushing the NG tube with 30-60ml sterile water for irrigation before administering medications helps ensure that the tube is clear of any residual feeding formula or medication residue. This step helps prevent potential clogging of the tube and ensures that the medications are delivered effectively to the client's stomach or intestines.

D. Mix the medications together in a single syringe:

Mixing medications together in a single syringe may increase the risk of drug interactions or chemical incompatibilities between the medications. Each medication should be administered separately to ensure accurate dosing and prevent potential interactions. Administering medications separately also allows for better monitoring of the client's response to each medication.

A. Grab bars are installed in the shower: Installing grab bars in the shower is a safety measure that helps prevent falls and assists the client in safely maneuvering in the bathroom. This finding indicates a safe environment and does not require intervention.

B. The hot water heater is set to 47°C (117°F): The hot water heater set at 47°C (117°F) poses a scalding risk, especially for older adults with decreased sensation or mobility issues. The recommended safe temperature for hot water heaters is typically below 49°C (120°F) to prevent burns. Therefore, the nurse should intervene to adjust the temperature to a safer level.

C. There is an area rug covering a tile floor.

Area rugs covering tile floors can pose a significant fall risk, especially for older adults with osteoporosis, who are more susceptible to fractures. The rug can slip or bunch up, leading to trips and falls. Therefore, the nurse should intervene to remove the area rug or secure it firmly to the floor to prevent accidents.

D. Prescriptions are stored in a medication organizer: Storing prescriptions in a medication organizer promotes medication adherence and organization, which is beneficial for older adults managing multiple medications. This finding indicates good medication management and does not require intervention.