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Author Question: The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) ... (Read 108 times)

penguins

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on: Jul 23, 2018
The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the patient's medications can the nurse administer through the tube? (Select all that apply.)
 
  a. Edluar (zolpidem tartrate) sublingual tablet 5 mg nightly at bedtime
  b. Ondansetron (Zofran) oral disintegrating tablet 8 mg q 8 hours PRN nausea
  c. Ceclor (cefaclor for oral suspension) 250 mg q 6 hours
  d. Oxymorphone hydrochloride extended release (Opana ER) 40 mg q 12 hours
  e. Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours
  f.
  Potassium chloride oral solution 20 mEq daily

Question 2

The nurse is caring for a patient with multiple chronic illnesses who is having difficulty remembering to take all of her many medications at the correct times. Which is the appropriate nursing diagnosis for this patient?
 
  a. Activity intolerance related to inability to take medications on time
  b. Ineffective therapeutic regimen management related to complexity of medication schedule
  c. Risk for aspiration related to need to swallow many pills during day
  d. Acute confusion related to inability to figure out medication dose times


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mceravolo

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C, E, F
Extended-release, oral disintegrating, and sublingual tablets may not be administered through feeding tubes. Suspensions and oral solutions are ideal for feeding tube administration. Chewable tablets may be crushed and dissolved in liquid for administration through feeding tubes.

Answer to Question 2

ANS: B
The patient is not able to manage her prescribed medication regimen because of the complexity of the schedule, so Ineffective therapeutic regimen management is an appropriate diagnosis. Activity intolerance does not relate to the ability to take multiple medications at once and manage medication times. The patient does not state any difficulty swallowing pills, so risk for aspiration is not applicable. Inability to figure out medication dose times does not constitute acute confusion.


penguins

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Reply #2 on: Jul 23, 2018
TY


mceravolo

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Reply #3 on: Jul 23, 2018
You're welcome


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