The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?

Demonstrate how to administer medication via a feeding tube.

Confirm that the medication is only administered once daily.

Determine if the medication is compatible with the solution.

Oﬀer to assist in calculating the rate of ﬂow for the mixture.

Answer and Explanation

The Correct Answer is A

The picture shows that the newly hired PN is about to make a serious error by adding the medication directly to the feeding bag, which can cause clogging, contamination, or inaccurate dosing of the medication. The PN should demonstrate how to administer medication via a feeding tube correctly, which involves stopping the feeding, ﬂushing the tube with water, instilling the medication, ﬂushing again, and resuming the feeding.

The other options are not correct because:

B. Confirming that the medication is only administered once daily is not relevant or helpful, as it does not address the error or teach the correct technique of administering medication via a feeding tube.

C. Determining if the medication is compatible with the solution is not necessary or appropriate, as the medication should not be mixed with the solution in the first place, but given separately through the feeding tube.

D. Oﬀering to assist in calculating the rate of ﬂow for the mixture is not relevant or helpful, as there should be no mixture of medication and solution in the feeding bag, but separate administration of each through the feeding tube.

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Correct Answer is A

Explanation

A. Keep the hearing aid out of direct sunlight. - This instruction is accurate as exposure to direct sunlight can potentially damage the hearing aid components, such as the battery or delicate electronic parts.
B. Wear the hearing aid while sleeping. - It's generally advised to remove hearing aids before sleeping to allow the ears to rest and prevent potential damage to the device.
C. Clean the hearing aid with baby oil. - Baby oil can damage the hearing aid and should not be used for cleaning. Specific cleaning solutions recommended by the manufacturer should be used.
D. Leave the hearing aid in place while showering. - Water exposure can damage the hearing aid, so it's advisable to remove it before showering or bathing.

A. Measure head circumference dally. B. Document strict intake and output. C. Irrigate shunt and pump valve every 12-hours. D. Monitor body temperature every 4-hours.

Correct Answer is ["A","B","D"]

Explanation

A. Measure head circumference daily. - Monitoring head circumference is crucial to detect changes that might indicate increased intracranial pressure after the shunt placement.
B. Document strict intake and output. - Monitoring fluid intake and output helps assess the infant's hydration status and shunt functionality.
C. Irrigate shunt and pump valve every 12-hours. - Shunt irrigation should be performed by specialized healthcare professionals, not typically by a practical nurse.
D. Monitor body temperature every 4 hours. - Postoperative monitoring includes assessing for signs of infection or systemic changes, which might be indicated by changes in body temperature.
E. Place in Trendelenburg position. - The Trendelenburg position is not typically recommended post-ventriculoperitoneal shunt placement and should be avoided unless specifically prescribed by the healthcare provider.

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The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older client is fitted with a hearing aid and instructions are provided for its use. Which instruction is accurate and should be reinforced by the practical nurse (PN)?

Correct Answer is A

Explanation

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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