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Zorluk: OrtaPharmacological and Parenteral Therapies

A nurse is preparing to administer a prescribed oral medication to a client who has a nasogastric (NG) tube connected to low intermittent wall suction. The medication has been appropriately crushed and dissolved in sterile water. Arrange the following nursing actions in the correct chronological order.

  1. 1Disconnect the NG tube from the suction source and verify proper tube placement.
  2. 2Flush the enteral tube with 30 mL of water using a large-barrel syringe.
  3. 3Pour the dissolved medication mixture into the syringe barrel and allow it to flow by gravity.
  4. 4Flush the tube again with 15 to 30 mL of water.
  5. 5Clamp the NG tube and leave it disconnected from suction for at least 30 minutes.

Cevap

The correct sequence is to first pause suction and verify placement, flush for patency, administer the medication, flush to clear the line, and finally clamp the tube to allow for absorption.
Safe administration of enteral medications requires a systematic approach. The nurse must first ensure safety by pausing suction and verifying placement. Once verified, flushing ensures patency, followed by gravity administration of the medication, and a subsequent flush to clear the line. Finally, clamping the tube prevents the medication from being immediately suctioned out, allowing for gastric absorption.

Adım Adım Çözüm

1
Disconnect suction and verify placement.
The suction is paused and the tube is confirmed to be in the stomach.
Ensures the medication will not be aspirated into the lungs.
2
Flush with 30 mL of water.
The tube is cleared of any residual stomach contents.
Confirms tube patency and clears the path for the medication.
3
Administer the medication via gravity.
The dissolved medication enters the stomach.
Gravity administration prevents excessive pressure that could damage the tube.
4
Flush with 15 to 30 mL of water.
Residual medication is cleared from the tube.
Ensures the full dose reaches the stomach and prevents the tube from clogging.
5
Clamp the tube for at least 30 minutes.
The tube remains closed and disconnected from suction.
Allows adequate time for the medication to be absorbed through the gastric mucosa.

Anahtar Kavram

Enteral Medication Administration Principles
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