The nurse is preparing to administer a medication via a jejunostomy tube to a patient who is receiving continuous tube feedings. The medication needs to be given on an empty stomach and comes only in tablet form
What action should the nurse take first?
a. Add the medications directly to the tube feeding.
b. Flush the tubing before the medication is given.
c. Stop the feeding 30 minutes before medication administration.
d. Dissolve the medication in cold water.
C
If the patient needs to take the medication on an empty stomach, stop the feeding 30 minutes before medication administration to facilitate absorption of the medication. Never add crushed medications directly to the tube feeding. Whenever possible, use liquid medications instead of crushed tablets, but if you have to crush tablets, the tubing must be flushed before and after the medication is given to prevent the drug from adhering to the inside of the tube. Dissolve in at least 30 mL of warm water. Cold water causes gastric cramping.
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MC There are four biologic processes of drug utilization. The process in which the drug binds with plasma protein is
A. Absorption. B. Distribution. C. Metabolism. D. Excretion.
The physician has changed the medications for the child with asthma to salmeterol (Serevent). The mother asks the nurse what this drug will do. The nurse should explain that salmeterol (Serevent) is used to treat asthma because the drug:
1. Is an anti-inflammatory. 2. Decreases mucus production. 3. Controls allergic rhinitis. 4. Is a bronchodilator.
The indicators the nurse would find useful for evaluation of outcomes relating to sleep improvement
include (more than one answer may be correct) A. fewer than 5 hours of sleep. B. decreased time falling asleep. C. fewer awakenings. D. dependence on sleep aids. E. ability to resume sleep after awakening. F. client perception of improvement.
A 10-year-old in renal failure is on continuous ambulatory peritoneal dialysis (CAPD). Which of the following would be important to teach his parents?
A) Dialysis solution must be infused over a period of 30 minutes. B) Slight bleeding from the exchange catheter is to be expected. C) The return solution will be cloudy because of urea in it. D) Cramping should not occur with an infusion.