Author Question: A nurse is administering medications through an enteral tube to a client with swallowing ... (Read 81 times)

ARLKQ · **on:** Jul 22, 2018

A nurse is administering medications through an enteral tube to a client with swallowing difficulties due to a cerebrovascular accident (CVA). Which of the following actions should the nurse perform to prevent gastric reflux?

A) Help the client into a Fowler's position.
B) Check for drug allergies in the client's history.
C) Add diluted medication to the syringe.
D) Administer the medication over several minutes.

Question 2

A client is admitted to a health care facility with complaints of nausea, headache, and abdominal pain. The physician orders a series of tests to determine the exact cause of the client's condition.

After the physician leaves, the client has some questions about the sequence of events during the test. What should the nurse do in this case? A) The nurse should explain the information to the client.
B) The nurse should page the physician.
C) The nurse should call the laboratory assistant to explain.
D) The nurse should provide medication to calm the client.

prumorgan · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
Assuming Fowler's position can help prevent gastric reflux when medications are administered through an enteral tube. The nurse checks the client's medical history for drug allergies to avoid potential complications. Adding diluted medication to the syringe as it becomes nearly empty prevents instilling air into the syringe. Administering the medication over several minutes has no effect on reflux.

Answer to Question 2

A
Feedback:
The nurse should repeat the need for the test to the client. Although physicians are responsible for giving clients sufficient information to obtain their informed consent, not all clients fully understand the information. Some are too anxious to process details, whereas others feel too insecure to ask questions, and still others express additional concerns after the physician has left. Often the nurse must repeat, simplify, clarify, or expand the original explanation. Calling the physician is likely unnecessary and calling the laboratory assistant will not help the client in this case. Medication is not a reasonable response to the client's need.