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 as seen in the picture. 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.
The Correct Answer is A
Demonstrate how to administer medication via a feeding tube.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:
- 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.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.
- 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevated energy level: While cocaine use can initially cause increased energy, this is a temporary effect. The most consistent and concerning behavioral manifestation is drug-seeking behavior due to intense cravings.
B. Powerful craving for more: Cocaine is highly addictive and stimulates the brain's reward system, leading to a powerful and often uncontrollable craving for more of the drug, which is a hallmark of cocaine dependence.
C. High self-esteem: Cocaine use may cause temporary grandiosity, but it does not result in true or stable high self-esteem. Users often experience mood swings and depressive symptoms after the drug wears off.
D. Euphoria: Cocaine does cause euphoria, but it is short-lived. The craving for more, even after the initial high, is more defining and persistent in clients who test positive and are in the cycle of use.
Correct Answer is D
Explanation
A) Incorrect- While notifying the healthcare provider is an important step to take after an error, it's not the first action the nurse should take. The immediate concern is the client's safety and well-being, so assessing the client for any adverse effects of the incorrect dose is the priority.
B) Incorrect- Documentation is important, but it's not the first action to take after administering an incorrect medication dose. The nurse should prioritize assessing the client for any adverse effects and ensuring their immediate safety.
C) Incorrect- Completing an incident report is an important step to document errors and prevent future occurrences, but it's not the initial action to take. First, the nurse should focus on the client's well-being by assessing for adverse effects.
D) Correct- Assessing the client for any adverse effects is the immediate priority when an incorrect dose of medication has been administered. The nurse's first concern is the safety and health of the client. Once the client's condition has been assessed and stabilized, further actions can be taken, such as notifying the healthcare provider and completing incident reports.
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