A nurse is preparing to administer three medications to a child who is receiving continuous enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take?
Flush the gastrostomy tube with 10 mL of formula between each medication.
Dilute viscous medications with water.
Add the medications to the bag of formula.
Combine the medications together in one syringe.
The Correct Answer is B
A. Flushing the gastrostomy tube with 10 mL of formula between each medication is incorrect. The nurse should flush the tube with sterile water, not formula, to prevent interactions between the medication and formula, which could cause clogging or reduced medication effectiveness.
B. Diluting viscous medications with water is correct. Thick or viscous medications should be diluted with water to facilitate easier administration through the gastrostomy tube and prevent clogging. This ensures proper delivery of the medication to the gastrointestinal tract.
C. Adding the medications to the bag of formula is incorrect. Medications should never be mixed directly into enteral feeding formula, as they may cause interactions, alter medication absorption, or clog the feeding tube. Each medication should be administered separately.
D. Combining the medications together in one syringe is incorrect. Medications should be administered separately to avoid potential drug interactions, altered medication absorption, and tube blockage. Each medication should be given individually, followed by flushing with water.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The nurse should delay the prescription for digoxin due to the finding of heart rate.
Rationale: Digoxin is a medication used to treat heart failure and arrhythmias, but it can slow the heart rate. For infants, it is important to assess the heart rate before administering digoxin. If the heart rate is too low, typically below 90 bpm in infants, digoxin should be held and the provider should be notified. Given that the infant’s heart rate is 64/min, which is on the lower side for a 5-month-old, the nurse should delay the administration of digoxin and consult with the provider.
Correct Answer is ["30"]
Explanation
- Calculate the amount of ibuprofen needed for one dose:
- Prescription: 200 mg every 8 hours
- Available concentration: 100 mg/5 mL
- To find the volume for one dose: (200 mg) / (100 mg/5 mL) = 10 mL
- Determine the number of doses in 24 hours:
- 24 hours / 8 hours per dose = 3 doses
- Calculate the total volume for 24 hours:
- 10 mL per dose 3 doses = 30 mL
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