1.1.ID: 18668356952
The nurse has obtained the patient's oral medications from the automated dispensing
system. What should the nurse do with the medication prior to going to the patient's room?
A. Place the packaged tablets or capsules into the medication cup. Correct
The nurse should place packaged tablets or capsules directly into medication
cup without removing wrapper. All tablets or capsules that the patient will receive
should be placed in one medicine cup, except for those requiring
preadministration assessments. Individual unit-dose packages should not be
opened until at the patient’s bedside and all three checks for accuracy have been
made. There is no indication the patient has difficulty swallowing, requiring the
medications to be crushed.
B. Open the individual packages and place the medications into one
medication cup.
C. Open the individual medication packages and place each into separate
medication cups.
D. Place medications between two cups and use a pill-crushing
device. Incorrect
Awarded 0.0 points out of 1.0 possible points.
2.2.ID: 18668356962
The nurse is reviewing medication administration through a feeding tube with the caregiver.
Which of the following statements indicates further instruction is needed?
A. "To verify gastric placement, the pH of aspirated gastric contents should 4 or
less."
B. "After crushing all medications, I will mix them together with 30 mL of tepid
water." Correct
Prior to medication administration through a feeding tube, placement should be
verified. A gastric pH of less than 5 is a good indicator that tip of tube is correctly
placed in stomach. Each crushed tablet should be dissolved in separate cup of
30 mL warm water. Administering medications separately allows for accurate
identification of medication if dose is spilled. In addition, some medications may
be incompatible, and giving medication separately followed by a flush solution
decreases the risk for drug incompatibilities. Following the last dose of
medication with a 30 to 60 mL flush maintains patency of feeding tube and
ensures passage of medications into stomach. Clamping the tube if not being
used prevents air from entering stomach. Keeping the head elevated for 1 hour
after medication administration reduces risk of aspiration.
C. "Following the last dose of medication, I will flush the feeding tube with 30 to
60 mL of sterile water because he is immunocompromised."
D. "After medication administration, I will clamp the feeding tube and have him
sit up for 1 hour."
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