A 77-year-old female patient experienced an ischemic stroke 6 days ago and has a nasogastric (NG) tube in place to facilitate tube feeding.
The care team has arranged for many of the patient's medications to be made available in liquid form but not all of her medications are available in liquid form. As a result, the nurses have been crushing some of the patient's pills and administering them with warm tap water. Which of the following medications should not be administered in this manner?
A) Tylenol with codeine
B) Levothyroxine (Synthroid)
C) Metoprolol (Lopressor)
D) Enteric-coated ASA
Question 2
A nurse is conducting morning assessments of several medical patients and has entered the room of a patient who has a nasogastric (NG) tube in situ.
Immediately, the nurse observes that the tube has become unsecured from the patient's nose and the mark at the desired point of entry is now approximately 8 inches from the patient's nose. How should the nurse best respond to this assessment finding?
A) Reinsert the NG tube and arrange for x-ray confirmation of placement.
B) Remove the NG tube and obtain an order for reinsertion.
C) Reinsert the NG tube and monitor the patient closely for signs of aspiration.
D) Reinsert the NG tube and aspirate stomach contents to confirm correct placement.
Patient teaching: mouth and pharyngeal assessment
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