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Zorluk: OrtaPharmacological Therapies

A client recovering from a stroke is receiving continuous enteral nutrition via a nasogastric tube. The practical nurse is preparing to administer a scheduled dose of liquid acetaminophen through the tube. Arrange the following actions in the correct sequence to safely complete this medication administration.

  1. 1Pause the continuous enteral feeding pump.
  2. 2Verify enteral tube placement and assess gastric residual volume.
  3. 3Flush the enteral tube with 15 to 30 mL of sterile water.
  4. 4Administer the liquid acetaminophen into the enteral tube.
  5. 5Flush the tube with an additional 15 to 30 mL of sterile water and restart the feeding.

Cevap

Pause the feeding pump, verify tube placement and residual volume, flush the tube with water, administer the medication, and complete a final flush before restarting the feeding.
The correct sequence ensures patient safety and tube patency. First, the feeding is paused to prevent mixing. Second, placement and residual volume are checked to confirm gastrointestinal function and prevent aspiration. Third, a pre-flush clears the tube. Fourth, the medication is administered. Finally, a post-flush delivers the full dose into the stomach and clears the tube before resuming the feeding.

Adım Adım Çözüm

1
Pause the continuous enteral feeding pump.
The flow of enteral formula is stopped.
Prevents the mixing of nutritional formula with the medication, which can cause coagulation and blockages.
2
Verify tube placement and assess gastric residual volume.
Stomach placement and digestive function are confirmed.
Ensures the medication will safely enter the stomach and that the client is not at risk for aspiration due to delayed gastric emptying.
3
Flush the enteral tube with 15 to 30 mL of sterile water.
The tube is cleared of any residual formula.
Maintains tube patency and prevents chemical interactions between the enteral formula and the medication.
4
Administer the liquid medication.
The medication is instilled into the tube.
Delivers the prescribed pharmacological therapy.
5
Flush the tube with an additional 15 to 30 mL of sterile water and restart the pump.
The tube is cleared and continuous feeding resumes.
Pushes the remaining medication into the stomach, prevents tube clogging, and restores nutritional support.

Anahtar Kavram

Enteral Tube Medication Administration
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