The nurse is preparing several medications to administer via nasogastric tube. Which action by the nurse demonstrates correct technique?
1. Administering one medication at a time every 15 minutes
2. Giving one medication at a time, flushing the tube with water, and then administering another medication
3. Mixing the medications together and giving them at one time
4. Calling the pharmacy to ask if all of the medications may be safely mixed together
2
Rationale 1: Giving one medication every 15 minutes is time-consuming and unnecessary if the tubing is flushed between medications.
Rationale 2: The medications should be administered one at a time, flushing the tubing well with water between each medication and after the last medication is administered.
Rationale 3: Medications should not be mixed together because that increases the likelihood of clogging the tubing, even if the pharmacist says they may be mixed.
Rationale 4: Medications should not be mixed together because that increases the likelihood of clogging the tubing, even if the pharmacist says they may be mixed. Delivering one at a time is the safest action.
Global Rationale: The medications should be administered one at a time, flushing the tubing well with water between each medication and after the last medication is administered. Giving one medication every 15 minutes is time-consuming and unnecessary if the tubing is flushed between medications. Medications should not be mixed together because that increases the likelihood of clogging the tubing, even if the pharmacist says they may be mixed. Delivering one at a time is the safest action.
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