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 D

Explanation

Choice A rationale:

Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.

Choice B rationale:

A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice C rationale:

A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice D rationale:

Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.

A. Fluoxetine. B. Methylphenidate. C. Lorazepam. D. Carbamazepine.

Correct Answer is D

Explanation

Choice A rationale:

Fluoxetine is an antidepressant. While some antidepressants are used for chronic pain management, fluoxetine is not typically used for this purpose.

Choice B rationale:

Methylphenidate is a stimulant used to treat attention deficit hyperactivity disorder (ADHD) and is not used for pain management.

Choice C rationale:

Lorazepam is a benzodiazepine used for treating anxiety, seizures, and insomnia. It is not typically used for managing neuralgia pain.

Choice D rationale:

Carbamazepine is an anticonvulsant that is commonly used to manage trigeminal neuralgia. It helps to reduce nerve impulses that cause pain.

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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

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

A nurse is planning to administer medications to a client who has trigeminal neuralgia.Which of the following medications should the nurse plan to administer to manage the client's pain?

Correct Answer is D

Explanation

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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?