What action is most appropriate when administering an oral m...

What action is most appropriate when administering an oral medication through a nasogastric tube? Select all that apply.

A. Not diluting liquids prior to administration
B. Checking the tube for placement
C. Dissolving crushed tablets in water prior to administration
D. Flushing the tube with water after drugs are administered
E. Clearing the tube with air prior to administration

Correct Answer: B,C,D

Rationale: Before administration of an oral drug through an NG tube or gastrostomy tube, the nurse should check the tube for placement, dilute and flush liquid drugs through the tube, crush tablets and dissolve them in water before administering them through the tube, and flush the tube with water after the drugs are placed in the tube to clear the tubing completely.

You may also like to solve these questions

What is the most appropriate response when a patient says, 'This doesn't look like my usual pill'?

A. This is the same pill your doctor has been ordering.'
B. It must be from a different manufacturer.'
C. It looks different? Are you sure?'
D. Let me double check with your doctor and the order.'

Correct Answer: D

Rationale: If the patient makes any statement about the drug, the nurse needs to hold the drug and investigate the patient's statement, double checking the chart and the order and obtaining clarification and/or confirmation from the prescriber. It may be that the dosage or manufacturer has changed and that is what makes the pill look different. It is always important to err on the side of caution. Telling the patient that the pill is the same or that it is from a different manufacturer may be true, but the nurse needs to confirm that before giving it to the patient. Repeating the patient's statement and then asking him if he is sure is inappropriate because it implies that the patient is incorrect.

What is considered a unit dose system? Select all that apply.

A. Floor stock bottle of aspirin 81 mg
B. A prefilled Lovenox syringe
C. One Phenergan suppository
D. Floor stock bottle of ibuprofen suspension
E. Single-dose cup of Maalox

Correct Answer: B,C,E

Rationale: Examples of unit dose medications include a package that contains one tablet or capsule, a premeasured amount of a liquid drug, a prefilled syringe, or one suppository.

How can the nurse ensure correct patient identification for an unresponsive patient?

A. By waking him up to ask him his name
B. By identifying the patient's room number
C. By checking the patient's wristband
D. By asking the nursing assistant for the patient's location

Correct Answer: C

Rationale: The nurse should identify a patient by checking his wristband, which has the patient's name. The nurse should not ask the patient to confirm his name, because some patients, particularly those who are confused or have difficulty hearing, may respond by answering yes. Additionally, this patient is unresponsive. The nurse can obtain the patient's location by asking any other member of the health care staff, but should verify the patient's identity by checking the wristband. The nurse should not rely on the patient's room number alone.

What are examples of topical drugs? Select all that apply.

A. Eyedrops
B. Suppository
C. Nebulized bronchodilator
D. Nicotine patch
E. Capsule

Correct Answer: A,B

Rationale: Topical drugs are drugs that are applied to the outer layer of the skin but not absorbed through the skin, such as eyedrops and suppositories. A nebulized bronchodilator is an inhaled medication. A nicotine patch delivers the medication transdermally; that is, it is readily absorbed from the skin. A capsule is a form of oral medication.

Prior to administering a prescribed drug, how should the nurse correctly identify the client? Select all that apply.

A. Checking a client's name on his or her wristband
B. Checking a client's chart
C. Asking the client to identify himself or herself and give his or her birth date
D. Using a current picture of the client if available

Correct Answer: A,C,E

Rationale: Client identifiers can include visual and verbal methods. Visual methods include use of a recent picture of the client or client wristband. Verbal methods include asking the client for his or her name and another unique identifier, such as his or her birth date. Never ask a client, 'Are you Mr. Jones?' because some clients may respond by answering 'yes' even though that is not their name due to confusion or difficulty hearing. Checking the client's chart would be inappropriate to use for identifying the client.