Answer to Question 1
ANS: A
Gaseous and volatile medications are excreted through gas exchange (lungs). Deep breathing and coughing will assist in clearing the medication more quickly. It is a gaseous medication and cannot be suctioned out of the lungs. It is not excreted through the kidneys so fluids and voiding will not help.
Answer to Question 2
ANS: C
If a medication needs to be given on an empty stomach or is not compatible with the feeding (e.g., phenytoin, carbamazepine Tegretol, warfarin Coumadin, fluoroquinolones, proton pump inhibitors), hold the feeding for at least 30 minutes before or 30 minutes after medication administration. Thoroughly shaking the medication mixes the medication before administration but does not affect absorption. Flushing the tube after all medications should be 30 to 60 mL of water; 15 to 30 mL of water is used for flushing between medications. Patients with NG tubes should never be positioned supine but instead should be positioned at least to a 30-degree angle to prevent aspiration, provided no contraindication condition is known.
Patient Teaching Methods Cont.
Withdrawing Medication from an Ampule
A physical therapist exercising the patient’s leg in a physical therapy department.
Assisting the patient to transfer from the bed or examining table to a wheelchair.
NCC MERP Index for categorizing medication errors.
Severe periodontitis in a patient with uncontrolled diabetes.