Module 05: exam Key Questions with 100

Module 05: exam/ Key Questions with 100%

Correct Answers.Terms in this set (12) The nurse has obtained the patient's oral medications from the automated dispensing system. What should the nurse do with the medication prior to going to the patient's room?

• place medications

between two cups and use a pill-crushing device.

• open the individual

packages and place the medications into one medication cup.

• place the packaged

tablets or capsules into the medication cup.

• open the individual

medication packages and place each into separate medication cups.

• place the packaged tablets or capsules into the

medication cup.The nurse should place packaged tablets or capsules directly into medication cup without removing wrapper. All tablets or capsules that the patient will receive should be placed in one medicine cup, except for those requiring pre-administration assessments. Individual unit-dose packages should not be opened until at the patient's bedside and all three checks for accuracy have been made. There is no indication the patient has difficulty swallowing, requiring the medications to be crushed. 1 / 2

The nurse is reviewing medication administration through a feeding tube with the caregiver. Which of the following statements indicates further instruction is needed?

• "After medication

administration, I will clamp the feeding tube and have him sit up for 1 hour." b."After crushing all medications, I will mix them together with 30 mL of tepid water." c."Following the last doseof medication, I will flush the feeding tube with 30 to 60 mL of sterile water because he is immunocompromised." d."To verify gastricplacement, the pH of aspirated gastric contents should 4 or less."

• "After crushing all medications, I will mix them together with

30 mL of tepid water." Prior to medication administration through a feeding tube, placement should be verified. A gastric pH of less than 5 is a good indicator that tip of tube is correctly placed in stomach.Each crushed tablet should be dissolved in separate cup of 30 mL warm water. Administering medications separately allows for accurate identification of medication if dose is spilled. In addition, some medications may be incompatible, and giving medication separately followed by a flush solution decreases the risk for drug incompatibilities. Following the last dose of medication with a 30 to 60 mL flush maintains patency of feeding tube and ensures passage of medications into stomach.Clamping the tube if not being used prevents air from entering stomach. Keeping the head elevated for 1 hour after medication administration reduces risk of aspiration.

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