The nurse is caring for a client with dysphagia who has a ...

[V@ndy87]

The nurse is caring for a client with dysphagia who has a nasogastric tube in place. When preparing to administer oral medications via the nasogastric tube, the nurse would do which of the following? Select all that apply.
 
  Standard Text: Select all that apply. 1. Open the capsule and pour the contents into 5 mL of water, and mix it well.
  2. Crush all of the client's tablets to a fine powder, and mix in applesauce.
  3. Flush the n/g tube with water after each medication.
  4. Check tube placement before beginning to administer medications.
  5. Flush n/g tube with water after last medication is administered.

Question 2

The hospice nurse is teaching the family of a terminally ill client the signs of approaching death, including: Standard Text: Select all that apply.
 
  1. Loss of muscle tone.
  2. Bounding pulse.
  3. Decreased urinary output.
  4. Noisy respirations.
  5. Stable blood pressure.

[ktidd]

Answer to Question 1

3,4,5
Rationale: The nurse will flush the n/g tube, then begin giving medications and flush with water after each medication, and again after the last medication is given before clamping the tube. Tube placement should be checked before instilling anything into it. Capsules should not be opened, and some medications cannot be crushed, so it is best to check with the pharmacy for liquid versions of medications that cannot be given via n/g tube.

Answer to Question 2

1,3,4
Rationale: Loss of muscle tone, including incontinence; constipation; and nausea can be signs of approaching death.