Because Mrs. Miller is NPO, the nurse must administer the oral spironolactone via the NG tube. Is it appropriate to crush this medication? Why or why not? What intervention should the nurse take following administration of the medication to facilitate absorption?
The drug should not be crushed and given. Moreover the patient is on NPO which means that the absorption of the drug will be diminished when it is taken without food. Crushing the drug will breakdown the molecules of the drug thus reducing the strength of the drug. The nurse can ask the physicians to prescribe an alternative for this drug via injections.
Because Mrs. Miller is NPO, the nurse must administer the oral spironolactone via the NG tube....
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Case Study PIE Pancreatitis Mrs. Miller • CART Mrs. Miller is an 88 year old woman who presented with complaints of nausea, vomiting, and abdominal pain. Her vital signs on admission are temperature 99.6 F (37.6C), blood pressure 115782, pulse 84, and respiratory rate 20. Her laboratory test reveal white blood cell count (WBC) 13,000/mm3, potassium (K) aspartate aminotransferase (AST) 142 U.L, and alanine aminotransferase (ALT) 390 U/L. Physical examination reveals a distended...
389. The nurse is supervising a student nurse administer a tube feeding to a client via Levin tube. Which of the following actions, if performed by the student nurse, indicates a proper understanding of the correct procedure? 1. The Levin tube remains unclamped for 30 minutes after the feeding 2. Sterile equipment is used to administer the feeding 3. The amount of the feeding is varied according to the patient's tolerance 4. The tube feeding is given at room temperature...
A nurse is preparing to administer digoxin 225 mcg for a pediatric Client who has a heart rate above 90/min. Which of the following actions should the nurse take to ensure administration of the right dose? Select all that apply? a) Validate that the dose is within the safe range. b)Confirm the medication amount is appropriate for the child. c) Verify that the medication is not expired. d) Check the client's heart rate prior to administration. e) Document the administration...
A charge is mentoring a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates the need for intervention by the charge nurse? Uses an IV infusion pump to administer total parenteral nutrition to a client. Inserts an NG tube for a client using clean technique Crushes an SL tablet to administer into a client’s feeding tube Stabilizes a client’s indwelling urinary catheter with the nondominant hand prior to inflation of the balloon. A nurse is...
21. A patient who is NPO for schedule surgery has been on Long-term oral steroid therapy and should receive a dose of prednisone 10mg by mouth at 0600, which action should the nurse take? notify the registered nurse Ask why the patient is taking steroids therapy give the oral steroid with small sip of water contact the pharmacy to obtain an intravenous (IV) equivalent dose O 0 22. During an electrocardiogram, the patient should anticipate that: Chest pain may occur...
A nurse is supervising an assistive personnel (AP).Which of the following actions by the AP indicates effective use of client care materials? Wears clean gloves when assisting a client with oral hygiene Empties the sharps container when it is full Returns unopened food items from the client’s try to the kitchen. Wears an N95 mask when bathing a client who has clostridium difficile A nurse is preparing to administer spironolactone and lisinopril to client. The client reports anxiety, dyspnea, and...
A nurse was administering PRBC (Packed Red Blood Cell) to a patient who is severely anemic. 15 minutes after the blood transfusion was started, the patient complained of having flank pain and hives. Which of the following priority nursing intervention will the nurse perform? (v Notify the doctor (1 Administer diphenhydramine Stop the blood transfusion Stay with the patient. 40. Which of the following is an example of artificial active immunity? Receiving vaccine injections (V (8) Response to a disease...
7. A newly licensed nurse is applying wrist restraints to a client .Which of the following actions should the nurse take? a. Secure the restraints using a quick-release tie. b. Ensure four fingers fit under the restraint to prevent constriction e. Secure the restraint to the lowest bar of the side rail. d. Anticipate removing the restraint every 4 hours. 8. During a shift report, a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical...
practice problems
Chapter 5 Ahmane Methods for Drug Adminstration b) The nurse should encourage the patient to drink plenty of fluids c) The nurse should administer this medication with food. d) The nurse should apply this medication directly over the area where the last medication was administered. 4 What is the primary advantage of a percutaneous medication a) These forms of medication are easy to administer. b) These forms of medication are more cost effective. c) These forms of medication...
24 Anurse will conduct an influenza vaccination campaign at an extended care facility. The nurse will be administering intramuscular (IM) doses of the vaccine. Of what age-related change should the nurse be aware when planning the appropriate administration of this drug? a. An older client has less subcutaneous tissue and less muscle mass than a younger client. b. An older client has more subcutaneous tissue and less durable skin than a younger client. C. An older client has more superficial...