A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Administer the crushed medication through the NG tube.

Dissolve the medication in water and give it through the NG tube.

Administer the medication under the client’s tongue.

Request a prescription for an oral formulation of the medication.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Administer the medication under the client’s tongue.

Choice A rationale:

Administering the crushed medication through the NG tube is inappropriate because sublingual medications are designed to be absorbed through the tissues under the tongue, not the gastrointestinal tract. Crushing and administering it through the NG tube would alter its intended absorption and effectiveness.

Choice B rationale:

Dissolving the medication in water and giving it through the NG tube is also incorrect for the same reasons as Choice A. Sublingual medications are specifically formulated to be absorbed through the mucous membranes under the tongue, and changing the route of administration can affect the drug’s efficacy.

Choice C rationale:

Administering the medication under the client’s tongue is the correct action. Sublingual medications are designed to be absorbed directly into the bloodstream through the tissues under the tongue, bypassing the digestive system and providing rapid onset of action.

Choice D rationale:

While some medications can be safely switched to oral formulations for NG tube administration, such a change is only necessary when the prescribed route (in this case, sublingual) cannot be used. Without contraindications (e.g., inability to hold the medication under the tongue or mucosal issues), the original sublingual route should be followed.

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Correct Answer is A

Explanation

Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe eﬀectively.

A. Gallbladder studies. B. Liver function tests. C. Blood glucose levels. D. Kidney function studies.

Correct Answer is B

Explanation

Rifampin and pyrazinamide can cause liver toxicity, so liver function tests should be monitored regularly while on this medication regimen to ensure that the liver is functioning properly and to detect any potential liver damage early.

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A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?

Correct Answer is A

Explanation

A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct, the client will be required while on this medication regimen?

Correct Answer is B

Explanation

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