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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Sublingual nitroglycerin should be taken without water. The tablet should be placed under the tongue and allowed to dissolve.
Choice B rationale:
It is recommended to take sublingual nitroglycerin before activities that might cause angina.
Choice C rationale:
The maximum recommended dosage is three tablets within 15 minutes, not four.
Choice D rationale:
Sublingual nitroglycerin should not be chewed. It should be allowed to dissolve under the tongue.
Correct Answer is C
Explanation
Choice A rationale:
Rifampin does not typically cause insomnia.
Choice B rationale:
Rifampin can cause a red or orange discoloration of body fluids, including urine, not blue or green.
Choice C rationale:
It is recommended to take rifampin on an empty stomach, either 1 hour before or 2 hours after a meal.
Choice D rationale:
Unusual hair growth is not a known side effect of rifampin.
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