Author Question: A client has an order for a heart medication that is supplied in a capsule form. The client also has ... (Read 39 times)

asmith134 · **on:** Jul 16, 2018

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.

Question 2

A nurse is caring for a client who has been ordered oxygen using a nasal cannula. What care should the nurse take when caring for this client?

A) Clean the cannula and examine the client's nares every hour.
B) Set the oxygen flow rate to not less than 6 liters per minute (LPM).
C) Guide the elastic strap over the top of the client's head.
D) Attach the humidifier to the flow meter.

olivia_paige29 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

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.

Answer to Question 2

D
Feedback:
The nurse should attach the humidifier to the flow meter when caring for the client who has been ordered oxygen using a nasal cannula; this prevents the nasal mucosa from drying. The nurse should clean the cannula and examine the client's nares at least every 8 hours and not every hour. The flow rate via the cannula should not exceed 6 LPM, whereas the flow rate via the partial rebreathing mask should not be less than 6 LPM. The nurse should adjust the tubing of the cannula behind the client's ear. The nurse should guide the elastic strap of the simple mask over the top of the client's head.