A client has an order for a heart medication that is supplied in a capsule form. The client also has a nasogastric tube. What would be the appropriate nursing action before administering this medication?
A) Flush the tube with distilled water, add the capsule, and flush the tube again.
B) Call for a specific order to open the capsule, mix with liquid, and instill in the tube.
C) Crush the capsule and add the contents to liquid and instill it into the tube.
D) Do not administer the medication; call the pharmacy for a liquid form.
B
Feedback:
Clients with nasogastric (NG) tubes or other types of gastrointestinal tubes generally receive their medications through the tube. Medications administered by this route should be in liquid form. If medications are unavailable in liquid form, the nurse should obtain an order from the primary provider before crushing any medication and mixing it with liquid for administration. In some cases, capsules may be opened and the contents mixed with liquid and instilled into an NG tube; this also requires a specific order.
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