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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mix the medication in a bottle of formula is incorrect. Mixing medication in a bottle of formula may cause the infant to not receive the full dose of the medication if they do not finish the bottle. It also creates the risk of the infant associating the medication with the feeding, which could lead to future feeding issues.
B. Mix the medication with a small amount of honey is incorrect. Honey should not be given to infants under 1 year of age due to the risk of botulism. Additionally, mixing medication with any substance should be avoided unless directed by the provider.
C. Place the medication in the back of the infant's throat using a dropper is incorrect. Administering medication in the back of the throat with a dropper can be dangerous and may lead to choking. The medication should be given in a controlled manner.
D. Place the medication in an oral syringe is correct. An oral syringe is the safest method for administering medication to an infant. It allows the nurse to measure the dose accurately and administer the medication slowly to ensure it is swallowed safely.
Correct Answer is ["B","D"]
Explanation
A. Encourage the parent to discuss the diagnosis with the adolescent immediately: While open communication is important, it is not always appropriate to encourage an immediate discussion, especially if the parent is struggling emotionally. The nurse should support the parent first in managing their emotions and in preparing for a discussion with the adolescent when the time is right.
B. Support the parent in expressing their concerns about the diagnosis and provide emotional support: The nurse should recognize the emotional difficulty the parent is experiencing and offer support. This includes helping the parent explore how to communicate difficult news to their child in an appropriate manner, providing counseling, and ensuring they have the resources to cope with the situation.
C. Inform the adolescent about the metastasis of cancer directly without the parent’s involvement: This option would not respect the parent’s role in communication and may cause unnecessary distress. It is important to involve the parent in the conversation, as they are likely the primary support for the adolescent and may need guidance on how to handle the situation.
D. Suggest to the parent to delay the conversation until the adolescent is physically stable: While not ideal, delaying the conversation until the adolescent is in a more stable emotional or physical state may be beneficial. The nurse can help guide the parent through the decision-making process and assist in determining the best timing for this sensitive discussion, emphasizing the need for a compassionate and supportive approach.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.