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Author Question: A patient has a nasogastric tube because of temporary swallowing difficulties. The nurse needs to ... (Read 112 times)

Kthamas

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on: Jul 22, 2018
A patient has a nasogastric tube because of temporary swallowing difficulties. The nurse needs to administer a medication that is only available in pill form.
 
  Using a mortar and pestle to crush this medication, the nurse invokes which one of the six rights of medication administration? A. Time
  B. Drug
  C. Route
  D. Patient

Question 2

Mrs. Parker has been hospitalized after a stroke. Her daughter is helping her to eat her meals because the stroke has left her with dysphagia and right side paralysis.
 
  Wendy, the student nurse caring for Mrs. Parker, is concerned about aspiration and discusses this potential complication with Mrs. Parker's daughter. Wendy knows additional teaching is necessary when Mrs. Parker's daughter states:
  A. I will know when Mom is aspirating her food because she will cough.
  B. Mom's gag reflex is not as strong as it once was.
  C. I need to watch for pocketing food as I feed Mom.
  D. It takes much longer to feed Mom than it did before the stroke.


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alvinum

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Reply #1 on: Jul 22, 2018
Answer to Question 1

C
Knowing why a medication is ordered for a certain time requires clinical judgment. Nurses are responsible for administering medications after the medication administration record and physician's or health care provider's orders have been verified. An important step in administering medications safely is to ensure the right patient receives the medication.

Answer to Question 2

A
Patients with dysphagia do not usually exhibit overt signs such as coughing when food enters the airway. Silent aspiration, or aspiration that occurs without a cough, is a common cause of complications. Silent aspiration accounts for 40 to 70 of aspiration in patients with dysphagia after stroke.


Kthamas

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Reply #2 on: Jul 22, 2018
Thanks


alvinum

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Reply #3 on: Jul 22, 2018
Welcome :)


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