A nurse is administering medications to a client who has a feeding tube. Which of the following Study with Quizlet and memorize flashcards containing terms like The nurse is explaining the appropriate methods for measuring an accurate temperature to an unlicensed assistive personnel (UAP). 0600 B. Re-start the feed, unless you have been told to stop the feed for a specific amount of time following drug administration. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following actions should the nurse plan to take? A) Dissolve A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. g. a. , 23. Prior to formula administration, the nurse plans to verify placement of the tube. Encourage nonsteroidal antiinflammatory drugs. What step should the nurse take during medication administration? A. , The nurse is preparing to administer a medication Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the plan of care for a client who has surgery for a bowel obstruction. Readminister the aspirated fluid through the feeding tube The aspirated fluid should be readministered to the client through Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is receiving an intermittent feeding via a nasogastric (NG) tube. 1 Introduction. Uses a cane to ambulate Correct 3456, The nurse is preparing to administer several medications through a client's feeding tube. 30. Change the feeding bag every 48 hours B. Which of the following actions should the nurse take? A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. What is the appropriate nursing action? Clamp the tube for at least 30 minutes. Cost of the medication 2. flush the tube with water b. The nurse reviews the client's current medications and the client says, "I take one pink pill every morning. Certain medications CANNOT be cut The bolus method is a way to send formula through your feeding tube using a catheter syringe. Crush the client's medications and mix them in with the tube feeding formula prior to administration. After administering the last dose of medication, how much water should the nurse flush through the gastric tube? The nurse is preparing to administer medications to a client with a gastric tube. and the patient is requesting pain medication. administering medications to all patients. Drug-related problems and preventative measures when giving medication by feeding tubes 2. 0730, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. Which of the following actions should the nurse take prior to administering the medications? a) Check the tube placement by inserting air into the tube while auscultating at the gastric fundus. The nurse understands that which of the following medications may be crushed? Levothyroxine The nurse is administering a gavage feeding through a nasogastric feeding tube. The American Association of Critical‐Care Nursing recommends that the position of a feeding tube should be checked and documented every four hours and prior to the administration of enteral feedings and medications by measuring the visible tube A. The nurse reports the following as an adverse reaction to the tube feeding: Renal studies Fasting blood glucose level Liver function tests Physical assessment data The intragastric placement must be confirmed if the tube is being placed for administering medications or nutrition. Perform leg exercises every 2 hr B. , A nurse is preparing to administer medication through a feeding tube. 6. Hold the medication and report the information to the health care provider. Pull the NG tube out about an inch to release it suctioning against the wall of the stomach 4. To administer medications through an NG tube, check-out the following recommended steps: Purpose of med administration through NG tube . Furthermore, this ensures that the lowest hourly feeding rate is obtained, while meeting the patient's Ellis demonstrates how to administer medication through an enteral tubes (e. Assist the patient to a comfortable position. administering medication through a feeding tube b. A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Route of administration 4. Administer the feeding at A nurse is preparing to administer medications to a preschooler. " The nurse asks the name and purpose of the drug and the client says she doesn't know. Remove The nurse flushed the feeding tube with 10 mL of water between medications and with 30 mL of water after the last medication. replaces the tube on a weekly basis D. Interactions between medications and Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer a medication through a nasogastric (NG) tube that is connected to suction. , A nurse is A nurse is caring for a 64 yr old client who has a small bowel obstruction For each potential prescriptions from the provider, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client o2 L per nasal cannula NG tube CXR on admission morphine 4mg IV prn pain every 2 hr 0. Most patients who require an NG tube for nutrition also will receive medications via the tube. Factors that may alter drug availability include: 2. Parenteral nutrition is provided through a large vein in the central venous Study with Quizlet and memorize flashcards containing terms like What should the nurse do if a patient's enteral feeding is still running when medication administration is indicated?, The nursing is teaching a group of parents about medication administration to their children, Which interventions does the nurse implement while administering Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer several PO medications to a client. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving a feeding through a feeding tube. Which actions would the nurse take? Select all that apply. In 2007, the National Patient Safety Agency raised concerns about the administration of medicines through enteral feeding tubes. Do not give medicines that are coated, extended-release, or long-acting through a feeding tube. There is always a doctor or nurse on call. Some patients require medications to be given via NG tube. Nasogastric route b. Flush the client's gastrostomy tube with 30 mL of water before administering the medication. When a nurse is preparing to administer medication to a client who has an enteral feeding tube, there are some specific actions to take into consideration. Encourage milkshakes as a nutritious snack. The nurse identifies that this medication can be safely administered for which condition? A) The nurse is to administer a cyclic feeding through a gastric tube. Which action would be best for the nurse to take? A. Review When administering the feeding product after it has been refrigerated, let the product warm to room temperature by setting it on the counter for about 15 minutes before putting it through the feeding tube. See an expert-written answer! We have an expert-written solution to this problem! A nurse is caring for a client with a gastrostomy tube and observes that a large amount of drainage is leaking from the tube. The nurse checks the residual and obtains an amount of 200 ml. , A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Oush the client's medications and mix them in with the tube feeding formula prior to administration. Another complication that all those Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a continuous enteral tube feeding to a client. The skin around your PEG tube is red, swollen, or draining pus. You have stomach pain after each feeding or when you move around. Aspiration risk. Limit the time the formula hangs to 8 hours B. Would you rather have me hand it to you or Mommy?" In critiquing the nurse's actions, which is most accurate? The nurse's Study with Quizlet and memorize flashcards containing terms like 21. The practical nurse (PN) is administering scheduled morning medications to a client who states, "I haven't seen that pill before. Which of the following actions should the nurse implement? Select all that apply. Stomach decompression is commonly used after surgery feeding tube. Check for tube placement and residual volume q4 hours P roblem: Giving medications through a feeding tube can be fraught with errors that occur more often than they are reported or recognized. 5 (less than 5). Specialty, A nurse is preparing to administer a continuous enteral tube The American Association of Critical‐Care Nursing recommends that the position of a feeding tube should be checked and documented every four hours and prior to the administration of enteral feedings and medications by measuring the visible tube length and comparing it to the length documented during X-ray verification. Incorrect Answers: A. Demonstrate how to administer medication via a feeding tube. This involves measuring the visible length of the tube and comparing it to the length documented during X-ray verification. For the first client, the nurse administers the following medications: levothyroxine 25 mcg po daily scheduled for 0600 but not administered pantoprazole 40 mg po daily scheduled for 0800 metformin 500 mg Which of the following actions should the nurse take to ensure the medication reaches the inner ear?, Nurse should report: A client who has an IV infusion pump receives an additional 250 ml of IV fluid. The pharmacy has delivered the correctly The client is scheduled to receive a tube feeding at 0700. Administer the medication to the client in a liquid form The nurse should administer the medication in a liquid form to reduce the risk of clogging the feeding tube. Considerations should include whether the patient can take the medicine orally and Study with Quizlet and memorize flashcards containing terms like A client is receiving a Mantoux test for tuberculosis screening. hold the feeding 2. Flush the tube with water. Flush tube every 8 hours C. Verify if any hazardous drugs are to be given via the feeding tube and contact pharmacy for . Before administering medications through the NGT, what action should the practical Study with Quizlet and memorize flashcards containing terms like When administering an otic medication to an older adult, A nurse is providing care to four clients. The nurse reads the order for aspirin PO and crushes the Which explanation would the nurse give for why a PEG tube is preferred for administering a tube feeding? Which action would the nurse take after the medication has been injected and the needle withdrawn when administering an intradermal tuberculosis skin test to a client? A client has a nasogastric feeding tube inserted, and the health Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. This can help the nurse understand how the client has dealt with difficult situations in the past and can provide insight into how the client may cope with their current diagnosis. The client asks, "Why do I need to have a gastric tube?" How should the nurse respond?, Critically ill patients who require assistance with feeding or medication administration may also have an NG tube placed. The client has a feeding tube and is not able to swallow; therefore, the nurse should not administer the medication orally. The nurse is unable to aspirate gastric contents and realizes that the tube is clogged. cleanse the A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. What guideline is appropriate for the nurse to 1. 30 degrees. As the tube reaches the back of throat, instruct client to sip water, or swallow air, to help advance small-bore feeding tube into esophagus. Change the client's feeding bag every 72 hours. Overview. Pull the lower lid down against the cheekbone. If receiving a tube feeding, the head of the bed must remain elevated at least 30 degrees. Check the residual volume. Remove additional PPE, if used. 4 Continuous Feeding 18 6. The nurse should verify NG tube placement prior to administering a bolus feeding. , stomach or small intestine. There are two main types of NG tube The Levin Tube The Levin Tube is a flexible, soft rubber or plastic tube with a single lumen (i. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. Which nursing activity would increase the safety of medication administration? a) check tube placement before administration b)bring the liquids to room temperature before administration c) flush While the nurse is administering a bolus feeding to a client via nasogastric tube, the client begins to vomit. The nurse is preparing to administer a bolus tube feeding. The term enteral medication describes medications that are administered into the gastrointestinal tract including orally (PO), rectally (PR), or through a tube such as a nasogastric (NG) tube, nasointestinal (NI) tube, or percutaneous endoscopic gastrostomy (PEG) tube. • If a client need medication assistance and is fed through a Gastrostomy Tube (GT, aka PEG, JG tube or Mickey button), the WSC must make sure that unlicensed service providers working with the client are MAPs who have had further training and validation in Prescribed Enteral A nurse informs you that a patient’s feeding tube has clogged after administering several medications. Upon approaching the child, the nurse said, "I have your medication. The client has the These surveys showed the inconsistency in nurses’ practices, the low percentages of nurses who flush the tube before medication administration, after medication administration, and between different medications administration. Although medication crushing is common , prescribing information may not include details on acceptability of crushing medications or how to administer once crushed, and inappropriate medication crushing can have unintended or adverse effects . 5 Prevention of Diarrhoea 19 7 ADMINISTRATION OF MEDICATIONS 21 7. See Figure \(\PageIndex{14}\) [51] of a nurse administering oral medication to a child with an oral syringe. The physician's order states to administer all meds per tube and a continuous feeding of Isocal at 30 mL per hour. All of the medications are crushable tablets. Administer an antiemetic medication listed on the client's medication record 3. Instruct the client to tilt Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to place a patient's ordered nasogastric tube. Introducing medication or tube feeds to the lungs can cause major complications, including death. Hold the feeding. Be sure that you can reach the The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. If the feeding tube has an external fixator, it is important to follow the advice the healthcare team (and/or the Nutricia Homeward Enteral Nurse Specialist) and, if possible, should be given plenty of time to practice Syringes* to administer feed, water, medication. It has a hole with a Patients with a gastric tube (nasogastric, nasointestinal, percutaneous endoscopic gastrostomy [PEG], or jejenostomy [J] tube) will often receive medication through this A nurse is caring for a client who has developed irritation to his feeding tube in the past. The nurse should take which of the following actions to prevent a complication of the tube feeding? A. which of the following actions should the nurse take to prevent aspiration? - flush the feeding tube with 30 mL of water - add blue food coloring to the enteral formula - ensure the formula is at room temperature - place the client in D. , A client is receiving enteral feedings via a gastrostomy tube (G-tube). The nurse should identify that which of the following requires an enteral tube feeding?, A nurse is providing teaching about risk for aspiration with a client who is receiving intermittent bolus nasogastric feedings. The nurse documents how the child tolerated the feeding. Tablets and Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer medication through a feeding tube. You may have a feeding tube with a legacy connector or an ENFit connector. Compare the written order with the medication administration record (MAR). Encourage hourly use of an Healthcare providers also sometimes administer medicines through feeding tubes. Polymeric D. Wash hands. What steps must the nurse include prior to administering the feeding? (Select all Study with Quizlet and memorize flashcards containing terms like The nurse is demonstrating how to minimize occlusion of a feeding tube after medication administration. Which of the following actions should the nurse take ? Mix the medication with the client's feeding infusion . Reason the medication was prescribed 3. keeps the empty feeding bag attached to the tubing B. You have nausea, diarrhea, or abdominal bloating or discomfort. Which of the following supplies should the nurse include, besides the medication, to perform this procedure? (Select all that apply. Formulas that are administered through this tube shall be done in a continuous manner, as this is initiated at 20-50 mL/hr and may be increased until the target rate is achieved. 13. Treat the patient for shock. The practical nurse (PN) is adding tap water to several medications for administration via feeding tube. Which of the following actions should the nurse take? a) Mix the three meds together prior to administering. One of the medications is an enteric coated tablet. Check with your nurse, doctor or pharmacist to get specific instructions on: How to crush medications Do NOT add medication directly to your tube feeding formula, unless specifically directed to by your healthcare professional. These mistakes are often the result of administering drugs that are incompatible with administration via a tube, of not preparing the medications properly, and of using faulty techniques. When can the nurse begin to instill feedings, water, or A pH < 4 indicates the tube is likely in the stomach. Crush the medication and dilute with water before pouring into the tube C. To administer medications via NGT, the nurse should disconnect the NGT suctioning. If you have questions about how to give medicines through your child’s feeding tube, please talk to your doctor, advanced practice provider, nurse, or pharmacist. Enteral tubes are tubes placed in the gastrointestinal tract. administration guidance. 15 degrees. Which of the following actions should the nurse take to prevent this from occurring?, A nurse is caring for a client receiving tube feedings and medication. - Delayed-response tablets cannot be ground. 2. To promote client safety, the nurse uses the "rights" of drug administration. Which nursing Correct Answer: B. A nurse is preparing to administer a medication to a client who has an enteral feeding tube . When the client is 5 feet from the bathroom door, he states, "I feel faint. How the medication is supplied by the pharmacy 5. Administer multiple pescribed medications at the same time. A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. , A nurse is preparing to administer oxygen to a client who has Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who receives gastrostomy tube feedings and insulin. B) Position the client supine prior to administering the drug. What would be appropriate to include? Select all that apply. Deliver formula at a brisk rate Study with Quizlet and memorize flashcards containing terms like The family of a hospitalized client have asked the nurse who is responsible for supervising the client's menu. Your PEG tube is shorter or longer than it was when it was put in. Term. pylori. The order also states to check the patient's blood glucose every 6 hours. c. 1 Administration of Medications 21 Prior to administering medications via a nasogastric (NG) tube to a client who is receiving continuous tube feeding, the nurse should flush the NG tube with sterile water to ensure the line is clear and free from any obstructions. 3 Bolus Feeding 17 6. Finally, flush the enteral feeding tube with the recommended volume of water. Which intervention should the nurse include in the plan of care? a. B) Position the client supine prior to Complete an incident report since the medication cannot be administered. 0630 C. Liquid dosage forms should be used when available and if . Rub hands and arms to dry. Instruct the client to squeeze the eyes shut after instilling the eye drop. Remove gloves. Which of the following actions should the nurse take first?, The nurse is preparing to administer medications to a client. Avoid mixing medications C. Which is the nurse's best course of action? A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Aspirate the stomach contents 3. 2 Basic Concepts of IV Push Medication. flushes the tube with air after medication is given C. actions should the nurse take? Flush the NG feeding tube with 30 mL of water immediately following. Modular B. 45 degrees. The nurse is administering a client’s medications through a feeding tube. After administering an Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has developed irritation to his feeding tube in the past. What should the nurse do with the aspirated residual? 1. Assessing for peristalsis, A patient has a nasogastric feeding tube. At which of the following times should the nurse administer Humalog subcutaneously? and more. What equipment will the nurse gather to Administer prescribed analgesics, as needed. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests?, The nurse is reinforcing teaching with a client who has a The nurse has placed a feeding tube for a client with a gastroesophageal disorder. The nurse verifies the position of the feeding tube. Which actions should the nurse take before instilling the medications? Select all that apply 1. Which of The nurse should flush the NG feeding tube with water immediately following medication administration. The client has a dose of phenytoin (Dilantin) due. Every 8 hours during a continuous tube feeding D. The nurse is assisting a client to the bathroom. follow when administering a drug via this route? A) Flush the tube with water between each drug administered. A nurse has admitted a client to the hospital for a diagnostic workup. Medications will have to be in liquid form or crushed for administration. b. When administering medications through a feeding tube, the RN will: 9. The nurse administers a 500 mL IV bolus. The nurse should initially flush the NGT with 20-30 mL of tepid tap water. 6. Which of the following supplies should the nurse include, besides the medication, to perform this procedure? Select all that apply. 1. Enteral nutrition is indicated for patients who need nutritional supplementation and have a functioning gastrointestinal tract, but cannot swallow food Outline. Turn the feeding pump off. The patient has H. elevate the head of the bed to 90 degrees and administer the feeding Gastric-jejunal tube • Terminates in small intestine • Can be used in patients requiring both stomach drainage and intestinal feeding at same time • Poses risk of jejunal extension becoming clogged from inappropriate medication administration or from attempt to rotate tube (as with G tube), causing it to curl back into stomach or protrude Question: 10) A client on enteral nutrition has been prescribed a medication that must be administered via the feeding tube. Tube Feedings/Enteral Nutrition (Adult) B. insert a portion Which of the following is a recommended procedure for administering medications through a feeding tube? flush the tube with at least 30 mL of sterile water before giving the medication and resuming the tube-feeding formula. Sometimes the tube feeding needs to be held. Position your child upright. The nurse aspirates 90 mL of residual from the tube. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer three liquid medications to a client who has an NG tube with intermittent suction. Which is the best rationale for checking gastric residual volume before administering the tube feeding?, The nurse observes that a client with a nasogastric The nurse is preparing to administer eye drops. administering a tube feeding c. PURPOSE : To define the procedure for hanging, maintaining and caring for patients with enteral Medications given through an enteral feeding tube (nasogastric, nasointestinal, percutaneous endoscopic gastrostomy {PEG}, or jejunostomy {J} tube) should be in liquid form whenever possible to Enteral nutrition (tube feeding) can be administered safely but is not without risks. The nurse listens to the client's bowel sounds. Prior to initiating the feeding, what following actions should the nurse take first? a. A nonresponsive client has a nasogastric tube to low intermittent suction due to gastrointestinal bleeding. Which of the following formulas should the nurse administer to the client? A. "I haven had a bowel movement for several days", after Study with Quizlet and memorize flashcards containing terms like The nurse is educating a family of a client with a gastric tube about administering medications. What action should the nurses take next?, A patient has been prescribed enteric-coated aspirin therapy but has difficulty swallowing and requires medication to be crushed and mixed in applesauce for The American Association of Critical‐Care Nursing suggests checking and documenting the position of a feeding tube every four hours and before administering enteral feedings or medications. d. Check the residual volume 2. 0645 D. Which angle should the practical nurse (PN) insert the needle for injection? a. 2. Flush the feeding tube with 30 mL water. Identify three (3) manifestations of this condition. the nurse should ensure the informed consent form has been signed and is present in the client’s medical record. Change the client's feeding bag every 72 hr. Which of the following information should the nurse keep in mind when administering medications to this client? The deltoid muscle can be used to administer intramuscular injections. Place the following steps in the correct order. Which of the following actions should the nurse take? (Click on the audio button to listen to the clip. , 2010 ). Esophageal trauma. Have the client tilt their chin to their chest as the tube is advanced. Have your feeding tube changed regularly. Many of the sophisticated dosage Getting started. nurse's conclusion that the client has impacted stool? 1. The instructor tells the students that before each tube feeding, the nurse should check for tube placement in the stomach as well as residual volume. Dissolve the medication in sterile water and use gravity to administer B. -Administer the medication to the client in a liquid form The nurse should administer the medication in a liquid form to reduce the risk of clogging the feeding tube. Aspirate the stomach contents c. Flush the drug dose down the enteral feeding tube. Turn off the suction to the nasogastric Study with Quizlet and memorize flashcards containing terms like The nurse provides the client with a gravity feeding via a gastrostomy tube. Which are correct methods of tube placement verification? A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Prior to administering medications, which of the ollowing findings should the nurse report to the provider?Aspirated stomach contents' pH measures 6. Stomach decompression is a NG tubes can be used for feeding, medication administration, and suctioning. Which of the following is the most critical to assess before medication administration?, The nurse is preparing oral medications A nurse is preparing to administer three liquid medications to a client who has; an NG feeding tube with continuous enteral feedings. After checking tube placement, which action would the nurse take next?, The Study with Quizlet and memorize flashcards containing terms like The nursing instructor is talking about caring for patients with feeding tubes and endotracheal tubes (ET). Clean your hands with soap and water or use an alcohol-based hand sanitizer. What guideline is appropriate for the nurse to follow when administering a drug via this route? A) Flush the tube with water between each drug administered. Purpose. The nurse reads the order for aspirin PO and crushes the aspirin and administers through the G-tube. , The nurse is providing medication to a client who is currently receiving continuous tube feeding via gastrostomy tube. B) Administer the medication, the reaction may not occur again. Administer the medications There may be a kink or bend in your feeding tube or the feeding set; Formula or medication may have blocked the tube; What to consider. After administering medication to a client subcutaneously, the nurse removes the needle at the same angle at which it was inserted. Elevate the head of the bed to a high Fowler's position. Reinstill the residual and administer the feeding. They can also suction out stomach contents to relieve pressure or remove poisons. Which medication will the nurse withhold and consult with the health care Study with Quizlet and memorize flashcards containing terms like which statement made by an older adult most strongly supports the. The nurse Flush the client's gastrostomy tube with 30 mL of water before administering the medication. The client has a PEG tube for her feedings and does not have IV access. The nurse should administer each medication separately and flush the tube with 15 to 30 mL of sterile water to ensure the client receives the entire dose. Which of the following actions should the nurse plan to take? flush the tube with 15 mL of sterile water The nurse should flush the feeding tube with 15-30mL of sterile water before administration and between each medication. Encourage completion of antibiotic therapy. Perform hand hygiene. The nurse should ask the HCP 5) The nurse is preparing to administer medication using a client's nasogastric tube. Which medication will the nurse withhold and consult with the health care provider? furosemide liquid oxycodone extended Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. The physician did not specify a diet for the The client cannot swallow and just had an enteral tube placed for feeding and medications. Nursing Times; 107: 41, 18-20. Unclamp the gastric tube and restart tube feeding, if appropriate for medications administered. Moreover, nurses have reported crushing solid dosage forms routinely (Phillips and Question: A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Use established guidelines to properly administer medications. Study with Quizlet and memorize flashcards containing terms like An oral medication has been ordered for a client who has a nasogastric tube in place. -Check the client's blood glucose. Tablets which are enteric coated or extended release cannot be crushed and administered via the N/G tube. The nurse positions the child in a sitting position. Increase Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving continuous enteral feeding via a gastrostomy tube. , The practical nurse (PN) is providing wound care for a client with a stage III pressure ulcer “Enteral” means related to the intestines. Even in intubated patients, the NG tube can still be accidentally placed into the airway. Give each medicine separately and flush the tube with water after each dose. Mix the three medications together prior to administering. Which nursing interventions are most appropriate? Administer oral medications to promote peristalsis. What is a tube feeding? Just as the name says, it is way to deliver nutrition to patient via a tube. Verify tube placement 4. 5 mg of hydromorphone IM from a 2-mg/mL vial to manage a client's postoperative pain. place the client in semi-fowlers postion c. Which of the following actions should the nurse take to prevent this from occurring? If administering medication to a patient who is receiving intermittent or continuous tube feeding, stop the feeding based on the following guidelines: 1-2 hours prior to Nurses tend to disregard the dosage form of the medication to be administered through an EFT ( Mota et al. Which of the following tubes is most suitable for removing the toxic substances? A) Orogastric tube B) Nasointestinal tube C) Sump tube D) Nasogastric tube, A nurse is caring for a client who is experiencing To promote patient safety when administering a tube feeding, be sure to include the following interventions as part of patient care: Check tube placement before administering any fluids, medications, or feeding, using multiple techniques: x-ray, pH testing, aspirate characteristics, external length marking, and carbon dioxide monitoring (refer to They’re often used for short-term tube feeding and to deliver oral medications to hospitalized people. Secure the NG tube to the client’s nose using a securement device, tape, or semipermeable transparent dressing. Which action is correct?, The nurse is administering an intermittent tube feeding using a gravity set-up and open feeding bag system. The nurse is administering medications and needs to know the fingerstick glucose results before administering a medication. The client states they can only take one pill at a time. Request an X-ray of the client's abdomen The nurse should request an X-ray to verify the placement of the NG tube both after the initial insertion of the tube and if displacement of the tube is suspected. The two primary purposes of the nasogastric tube are short-term tube feeding (and medication administration) and gastric suctioning (stomach A nurse is preparing to administer 3 liquid meds to a client who has an NG feeding tube with continuous enteral feedings. The nurse should not verify the Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer a medication via a nasogastric tube. Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer an intermittent tube feeding to a client with a nasogastric (NG) tube. Remove the tube and place it in the other nostril e The client cannot swallow and just had an enteral tube placed for feeding and medications. Irrigate the NG and check to see if the fluid returns to the drainage-collection container, A nurse is planning to administer medications through a nasogastric (NG) tube. Supplies to Gather: Correct tube feeding to be delivered (can or 24 hour bottle) The nurse should not administer the medication or increase the dose. Which instruction should be given to the patient?, The nurse is preparing to administer a medication. Verifying feeding tube placement d. Which medication will the nurse withhold and consult with the health care provider? d) Administer half the tablet to the client and save the other half for the next dose. You have discomfort or pain around your PEG tube site. The client is scheduled to receive a tube feeding at 0700. If you have questions or concerns, contact your healthcare provider. Place the drop in the conjunctival sac. Tube feeding nursing calculations review for students! This review will demonstrate how to solve tube feeding calculations that require you to solve for dilution based on feeding strength, total volume, and administration time. 10 or 60 ml). Which action should the nurse take? a. The nurse is preparing to administer an intermittent feeding to a client who has a feeding tube. The nurse should withhold senna prescribed orally based on understanding of which of the following? a. Which of the following actions should the nurse take?, A nurse is providing teaching to a new nurse about caring for clients with restraints. To administer the feeding, sit or lie with your head elevated at least 30 degrees. The client nasogastric tube in place. Rinse the mouth with water to dilute the corrosive agent. What actions should the nurse take before administering the medication? Select all that apply. The nurse knows the sump tube is for which of the following Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to instill medication into a client's nasogastric tube. A nurse is preparing to administer medications to a preschooler. Ask the pharmacy to change the formulation of each medication. Inform the patient about the medication. If a tube medication port was used, cap the port. Dilute each medication with 10 mL of . 1. Optimal nursing care can prevent many tube feeding related complications, including misconnections. Study with Quizlet and memorize flashcards containing terms like The nurse has brought a 3-year-old's oral medications into the room for administration. Nutrition and Medication Administration. Which actions should the nurse take before administering the medication? Select all that apply. Crush the medication and mix it with applesauce for administration. Flush the tube with 50 mL of water q8 hours b. " what is the priority action by the nurse? A) Withhold the medication and notify the health care provider that ordered the medication. The nurse is administering medications to a client who has a gastrostomy tube (G-tube). "I feel like I have to go, but I just seep" 4. Specialty, A nurse is providing teaching about risk for aspiration with a Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer medication using a client's nasogastric tube. These medications may adhere to Study with Quizlet and memorize flashcards containing terms like The client with a gastric tube is prescribed a delayed-release tablet. Which of the following actions should the nurse take? A. TPN Flush the enteral feeding tube with the recommended volume of water. 10. What recommendation(s) should the nurse follow to confirm proper placement of the tube? Administer pain medication. Check the residual feeding contents and more. Combining medications with formula in the Total Parenteral Nutrition (TPN feeding) is a method of administration of essential nutrients to the body through a central vein. Gather your supplies. 85 of 105. Combine all medications and administer together 2. B. Which of the following. What action should the PN take? A B C Offer to assist in calculating the rate of flow for the mixture. Crush the pills and mix them in Study with Quizlet and memorize flashcards containing terms like The nurse is educating a family of a client with a gastric tube about administering medications. Turn off the suction to the nasogastric Study with Quizlet and memorize flashcards containing terms like The nurse is administering a buccal medication. Rectal route d. Therefore, the client is unable to receive the full dose. Study with Quizlet and memorize flashcards containing terms like The client cannot swallow and just had an enteral tube placed for feeding and medications. tube) and holes at the tip and along the distal side. Nasogastric tubes may be placed to administer nutrition or medications for a client who has a functional GI tract but is unable to ingest, chew, or swallow food safely Changing the administration time as appropriate or switching to a non-sorbitol-based alternative may relieve diarrhea without necessitating feeding-rate The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. List the steps of the procedure in the order in which they should be performed The nurse is administering medications to a client via a gastric tube. This provides correct medicine administration and avoids any problems. 1 Maintaining Tube Patency 14 6 ADMINISTRATION OF NASOGASTRIC TUBE FEEDING 16 6. elevates the head of the bed after the feeding, The nurse is preparing to administer a nasogastric tube feeding. Which nursing intervention is most important to include in the demonstration? A. , A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Dysphagia. NG tubes used for feeding and medication administration are small and a. A reversal agent, such as naloxone, is not warranted unless the client has reached a POSS score of 4 or is showing signs of respiratory depression. - Tablets must be ground to a fine The nurse is preparing to administer an intermittent tube feeding to a client. The nurse is correct to inform the family it is which of the following?, The nurse is caring for a client who has recently been extubated and is attempting to resume an oral Study with Quizlet and memorize flashcards containing terms like The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. They can adjust your formula or Administer the feeding 3. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. About tube feeding with the bolus method Inject the medication into the dorsal gluteal site. Which preparation should the PN administer without delay? A) reconstituted powder B) timed release capsule C) cherry flavored elixir D) flavorless suspension Study with Quizlet and memorize flashcards containing terms like The nurse checks the gastric residual of a client receiving continuous nasogastric tube feedings at 50 mL per hour through a feeding pump and notes that the residual is 175 mL. Put gloves on. Auscultate the client's breath sounds bilaterally. For this reason, the nurse must routinely check tube placement before every use. Syringes come in different types and different sizes (e. Tubes come in a variety of sizes, lengths, and materials, depending on the longevity of the tube, placement method, and location. What are nursing interventions when administering continuous enteral feedings?, A client is demonstrating heat stroke manifestations. Which of the following situations requires the nurse to complete an incident report?, A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following is an appropriate Artificial nutrition refers to the provision or supplementation of daily metabolic nutrition requirements in patients with contraindications to feeding through the mouth or those with inadequate oral intake. Are you sure it's correct?" An older client who is unable to swallow is receiving continuous nasogastric tube (NGT) feeding. At which of the following times should the nurse plan to administer insulin lispro subcutaneously? A. If client begins coughing, or tube coils in the You have a fever. which of the following actions should the nurse plan to take?, a nurse is collecting data from a client who is postoperative. The nurse checks the residual and obtains an amount of 200 mL. Which of the following interventions should the nurse implement?, The nurse is caring for a client and receives an order for a nasogastric sump tube. Your provider can prescribe medications that can help with the pain. The nurse recognizes this is being done to resolve which of the following conditions?, A nurse working on an orthopedic unit is caring for four clients. Question: A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. A catheter syringe does not have a needle. – The priority intervention for a client with a new diagnosis of terminal cancer is to discuss the client’s prior coping mechanisms. When administering medications via NGT, the nurse should never crush extended-release or sustained-release medications. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving enteral tube feeding and has a new prescription to dilute the formula. 5. Never microwave any tube feeding product. Chill the formula prior to administration C. Which action should the nurse take to Study with Quizlet and memorize flashcards containing terms like The nurse is administering medications to the team of clients. A nurse is administering medication to a client who has impaired swallowing. Which of the following actions should the nurse take? Flush the NG feeding tube with 30 mL of water immediately following medication administration Feeding tubes are tubes mainly inserted into the gastrointestinal (GI) tract to provide a patient with a route for enteral nutrition, though they can also be used for decompression of the GI tract. None of the medications are extended release. In which way is the medication being administered to the client? continuous drip bolus administration gravity infusion electronic infusion device, What is the term used for the concentration of drug in 20. Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer medication using a client's nasogastric tube. Which method, if noted by the UAP as being an appropriate method, indicates the need for further teaching?, The nurse is administering a cleansing enema A nurse is preparing to administer three liquid medications to a client who has an NG tube with intermittent suction. medication administration. 1 Preparation of Formula Feeds and Delivery System 16 6. administer the feeding 3. Which of the following actions should the nurse take? Flush the NG feeding tube with 30 mL of water immediately following medication administration Study with Quizlet and memorize flashcards containing terms like The nurse recently administered oral medications to a client who notified the assistive personnel that just vomited. Explanation: The nurse should flush the NG feeding tube with 30 mL of water immediately following medication administration. 90 degrees. Stomach contents are yellowish green in color. Turn off the suction to the nasogastric tube 4. Additionally, it is common to crush oral medications for administration via a feeding tube . Which nursing intervention is the highest priority? a. Study with Quizlet and memorize flashcards containing terms like When preparing to administer a new medication, what would the nurse do first to ensure the patient's safety? A. Verify feeding tube placement. The nurse is preparing to administer a medication to a client when the client states, "Last time I took the medication, I broke out in hives. Which of the following actions should the nurse take?Group of answer choicesMix the three medications together prior to administeringDilute each medication with 10 mL of tap waterMaintain the head of MEDICATION ADMINISTRATION • Stop the feeding and flush tube with at least 15 mL water • Deliver each medication separately • From other medications • From formula • Avoid adding medication directly to formula • Flush Takes carbidopa/levodopa 6. 7 Therefore, this quantitative descriptive study was conducted to determine the efficacy of a clinical pharmacist A nurse and newly hired nursing assistant are caring for a group of clients. This article outlines safe practice when administering medication by this route. If administering medication to a patient who is receiving intermittent or continuous tube feeding, stop the feeding based on the following guidelines: 1-2 hours prior to medication administration if medication is incompatible with feeding; 1 hour prior to medication administration if placement is to be assessed via the pH method A. Verify this and the amount of time that you hold a feeding with agency policy, a pharmacist, or a medication reference before administering the medication to maximize the therapeutic effect of the medication. 31. This helps ensure that the medications have been delivered completely and that there is no Study with Quizlet and memorize flashcards containing terms like a nurse is preparing to administer a bolus feeding to a client through and NH tine and observes that the exit mark on the tube has moved since the last feeding. Check the residual volume b. flush the tubing with 30ml of water 4. The nurse is caring for a client who has problems coordinating his breathing with the inhaler use. Insert the distal tip of the small-bore feeding tube into the client’s nostril. Enteral feedings to a client via a jejunostomy tube should be done continuously. Avoid placing tension on the feeding tube. If you’re not sure how to reach your healthcare provider, call 212-639-2000. " Before the nurse can get the client to a chair, the client starts to fall. The video will show you a few lifestyle changes you may experience after you have had a feeding tube placed. Enteral Nutrition. Which interventions should the nurse take to administer the drops? Select all that apply. Turn off the suction to the nasogastric tube d. , A nurse is preparing to administer medications to a With Your Feeding Tube This information explains how to use the bolus method to feed yourself through your feeding tube. , NG, PEG, G-tube). The nurse admits an older adult client to the emergency room with reports of shortness of breath on exertion and a productive cough. Which of the following actions should the nurse include in the client's plan of care? (select all) A. Elemental C. It is now 10:45 a. Best Practice Guidelines for Administering Enteral Nutrition • Check for proper placement of enteral feeding tube. 3. Which nursing interventions are most appropriate? Select all that apply. m. Which of the following should the nurse administer to the client? A. When administering drugs via feeding tubes, the drug’s effects on the patient can be unpredictable, and therefore careful monitoring is usually required. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a percutaneous endoscopic gastrostomy tube and is receiving intermittent feedings. After ensuring correct tube placement, what action should the nurse take next? Clamp the tube for 20 minutes. The nurse is preparing to administer an intermittent tube feeding to a client with a NG tube. What is the BEST method to administer medications to this client? a. The client cannot swallow and just had an enteral tube placed for feeding and medications. Back to top. 9% sodium chloride at 150 Study with Quizlet and memorize flashcards containing terms like A nurse needs to administer a prescribed medication to a client using IV push. Increase Infusion Rate D. Which interventions should be included to accurately administer the medication? Select all that apply. In this resource, we will show images of both types of connectors. "I have a lot of gas pain" 2. ) -Replace the NG tube. Give only half of the medication so that the client can better tolerate it. Study with Quizlet and memorize flashcards containing terms like a nurse is administering an enteral tube feeding to a client. Our Critical Nursing Skills video tutorial series is taught Study with Quizlet and memorize flashcards containing terms like Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. Which medication will the nurse withhold and consult with the health care provider? Study with Quizlet and memorize flashcards containing terms like Your client has an NG feeding tube insitu. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving continuous enteral feedings through an NG tube and develops diarrhea. 7 %âãÏÓ 747 0 obj > endobj xref 747 54 0000000016 00000 n 0000002209 00000 n 0000002405 00000 n 0000002484 00000 n 0000006991 00000 n 0000007226 00000 n 0000007759 00000 n 0000008302 00000 n 0000008721 00000 n 0000009205 00000 n 0000009678 00000 n 0000010076 00000 n 0000010188 00000 n 0000012354 00000 n A previous study in the intensive care units of Nemazee Hospital showed disparities between nurses’ knowledge, self-reported practice, and proper performance in drug administration through an enteral feeding tube. How should the nurse best determine the correct length of the nasogastric tube? A) Place distal tip to nose, then ear tip and end of xiphoid process. Artificial nutrition is provided through parental or enteral access. Which of the following actions should the The term enteral medication describes medications that are administered into the gastrointestinal tract including orally (PO), rectally (PR), or If administering medication to a patient who is receiving intermittent or continuous tube feeding, stop the feeding based on the following guidelines: 1-2 hours This guideline aims to support clinicians in administering feeds and medications via an enteral feeding tube including nasogastric, orogastric and gastrostomy tubes in a safe June 30, 2020. Inserting an NG feeding tube e. Aspirate the stomach contents. Place it into a container for laboratory analysis. 5 to 2 liters throughout the day and to not use the water just to wash the tube. What is the purpose of the A nurse is preparing to administer medications for a client who has a nasogastric tube. 2 Feeding Position 17 6. Chapter 2 Administer IV Push Medications. What information should the nurse check before administering any Which of the following actions should the nurse take to prevent clogging of the tube? Flush the client's gastrostomy tube with 30 ml of water before administering the medication. Name of the medication, 1) A nurse is preparing medications prior to administration. C. The only pain medication ordered is to be administered per feeding tube. "I don't have much of an appetite" 3. Graduated container Tablet, A client with status post-CVA from two years ago is admitted to the hospital from a nursing home with a urinary tract infection. , The nurse is educating a preoperative client about gastric tubes. • Know what type of tube the individual has and exactly where the end or tip of the tube is located at the time of feedings, e. Which are appropriate actions for the nurse? Select all that apply. B) Instruct the patient to lie prone and measure tip of nose to umbilical enteral administration. A nurse is preparing to A nurse is administering an enteral feeding to a client via a nasogastric tube. What are the NG Tube (ngt) medication administration steps? Verify order; Crush and d issolve medication in 20 mL water in an individual medication cup; Hand hygiene; Flush NG Tube with 30 mL of water; Administer medications with 10 mL water flushes between each medication; Flush Question: 39 of 110 The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system as seen in the picture. Give the client sips of oral fluids. On inspection the nurse finds a great deal of A nurse is administering an enteral feeding to a client via a nasogastric tube. Residual volume of stomach contents Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has taken an overdose of ibuprofen. The nurse is aware of the need to monitor the patient for potential complications. , The nurse working in a prenatal clinic reviews a client's chart and notes that a nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. It’s important to have the tube changed regularly to ensure it holds up and works as it should. PEG tube c. The client has the following medications prescribed. 2 nurse is administering nasal decongestant drops for a It is also important to administer water through the tube, around 1. ), A family caregiver is observing a nurse preparing to administer The nurse has completed administering medications through an enteral tube used for decompression. This chapter will review overall %PDF-1. e. A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Before feeding the client via the NG tube, the nurse should take which actions? Select all that apply. How to administer medications through an NG tube. Which action is correct? Before administering a medication through the tube C. -Decrease the rate of the feeding. Withdraw any residual, give the medication, and flush with 30 mL of direction. D. This would allow 24 hour worth of medication into the client's system at one time. A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse asks if the nursing assistant has been validated on obtaining fingerstick glucose readings. Dilute each medication with 10 mL of tap water. Which of the following actions should the nurse take? a. What action should the nurse implement first? Discontinue the administration of the bolus feeding. A pharmacist notifies you that the enteral nutrition (EN) infusion needs to be held for antibiotic administration. TPN therapy is indicated for a client with a weight loss of 10% of the ideal weight, an inability to take oral food or fluids within 7 days post-surgery, and hypercatabolic situations such as major infection with fever. When administering medication with an oral syringe, remember to remove the cap prior to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following findings should Study with Quizlet and memorize flashcards containing terms like A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. , The nurse is preparing to administer medications to a client with a gastric tube. The nurse should consult with the pharmacist to determine which medications are available as a liquid and which can be crushed and mixed with water prior to administration. Study with Quizlet and memorize flashcards containing terms like Nurses verifying the narcotic count at the end of the shift note a discrepancy. Administer each medication separately. The nurse notes the findings as shown in the accompanying documentation. -Place the client in Sims' position. A nurse is preparing to administer several medications through a client's NG tube for a client who is receiving enteral feedings. The nurse is preparing to administer a medication via a nasogastric tube. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. A nurse is caring for a client who has a cancer Study with Quizlet and memorize flashcards containing terms like administering a medication through a feeding tube. 4. Rationale: Z-track IM injection technique is used to administer irritating or cutaneous-staining medications into a large muscle, such as the dorsal gluteal site, and is given by moving the surface skin to one side before puncturing the skin. Administer multiple prescribed medications at the same time. - All ground powder must be mixed with tap water. FAQ. Among the options you have mentioned, the two most acceptable practices are: B) Flush the feeding tube with 10 mL of water prior to administration of the medication. Some of the changes discussed are establishing new feeding habits, changes in sleep patterns, Select all that apply. Oral route and more. A physician asks you if the EN regimen will decrease efficacy of a drug. Which action should the nurse take? 1. Never add medications directly to a container or bag of tube feeding. A client has been receiving intermittent tube feedings for several days at home. C) Administer the medication at a cold temperature. It is 0730. Use all options. CLINICAL POLICY. When a patient If you’re taking medications with your feeding tube in place, read How to Take Medications Through Your Feeding Tube. A nurse is administering 1. Encourage avoidance of wheat and oats. Maintain a patent airway. dzgs wgfh lmrq bfywi ylsole hfljr hgg dcjhh euww wrrpl