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.
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:
Requesting a prescription for an oral formulation of the medication is unnecessary if the sublingual route is appropriate and effective for the client. The sublingual route is often chosen for its rapid absorption and effectiveness, which might not be achieved with an oral formulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice a. Return the medication to the pharmacy.
Choice A rationale:
Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.
Choice B rationale:
Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.
Choice C rationale:
Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.
Choice D rationale:
Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.
Correct Answer is C
Explanation
Vancomycin is a glycopeptide antibiotic that is effective against gram-positive bacteria, particularly against MRSA, which is resistant to other antibiotics like methicillin. It is not effective against gram-negative bacteria such as Pseudomonas aeruginosa and Klebsiella. Candida is a fungal infection and is not treated with vancomycin. Therefore, in this educational program, the nurse manager should emphasize that vancomycin is indicated for the treatment of infections caused by MRSA.
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