The nurse instructs the client's caregiver about administering two medications through the client's nasointestinal tube. The client receives an intermittent tube feeding at 8 AM. The care-giver should administer the medications at 9 AM
Place the nurse's instructions for administering medications at 9 AM to the caregiver in order. (Use each instruction as often as necessary.) 1. Administer medication.
2. Infuse the tube feeding.
3. Flush the tube with water.
4. Check for residual volume.
4, 3, 1, 4, 1, 4, 2
4. The nurse instructs the caregiver to check the residual volume to determine how successfully the nasointestinal tube is operating before administering medications through it. If the caregiver obtains a large-volume of aspirate, which is unlikely, the caregiver withholds the medication and notifies the provider.
3. The nurse instructs the caregiver to flush the tube with saline solution or water after checking for residual volume to clear the tubing of medication and to create a di-vision between the formula and the medication because exposing medication to for-mula is associated with increased risk of tube occlusion.
1. The nurse instructs the caregiver to prepare the medication, administer it, and fol-low each administration with a flush; thus, the caregiver flushes before and after each medication administration.
3 and 2. The nurse instructs the caregiver to flush the tubing of medication before starting the formula infusion.
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