A nurse is preparing to administer medications to a client through an enteral feeding tube.
Which of the following actions should the nurse take?

Pinch the tube while connecting the syringe to it.

Elevate the head of the client's bed to 10°.

Flush the tube with normal saline following medication administration.

Combine crushed medications together in a single syringe.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Pinching the tube while connecting the syringe to it could potentially damage the tube and does not aid in medication administration.

Choice B rationale:

Elevating the head of the client’s bed to only 10° may increase the risk of aspiration. The head of the bed should be elevated to at least 30° during medication administration and for at least an hour afterward.

Choice C rationale:

Flushing the tube with normal saline following medication administration helps ensure that all medication has been administered and helps maintain tube patency.

Choice D rationale:

Combining crushed medications together in a single syringe can lead to drug interactions and can also increase the risk of tube clogging. Each medication should be administered separately.

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Correct Answer is B

Explanation

Choice A rationale:

Donepezil is a medication used to treat symptoms of Alzheimer’s disease and does not typically cause urinary retention.

Choice B rationale:

Scopolamine, an anticholinergic drug, can cause urinary retention. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that helps to contract the bladder muscles and relax the urinary sphincters to allow urination.

Choice C rationale:

Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. It does not typically cause urinary retention.

Choice D rationale:

Acetaminophen is a common over-the-counter pain reliever and does not typically cause urinary retention.

A. Renal excretion time slows for medication. B. Hepatic enzymes process medications more rapidly. C. Brain receptors become less sensitive to medications. D. Gastric emptying rate increases.

Correct Answer is A

Explanation

Choice A rationale:

Renal excretion time slows for medication. As people age, kidney function gradually decreases, which slows the excretion of medications. This can lead to increased levels of the drug in the body, which can increase the risk of side effects.

Choice B rationale:

Hepatic enzymes do not process medications more rapidly in older adults. In fact, liver function also decreases with age, which can slow the metabolism of medications.

Choice C rationale:

Brain receptors do not become less sensitive to medications in older adults. The sensitivity of brain receptors to medications can vary widely and is not necessarily related to age.

Choice D rationale:

Gastric emptying rate does not increase with age. On the contrary, it often slows down, which can affect the absorption of some medications.

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A nurse is preparing to administer medications to a client through an enteral feeding tube.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer medications to a client through an enteral feeding tube.
Which of the following actions should the nurse take?