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    ATI ns 550 Fundamentals proctored Exam

    A nurse is planning to administer medications to a client who has a nasogastric tube. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Crushing enteric-coated tablets destroys their protective layer, causing gastric irritation or premature drug release. This is contraindicated, making it an incorrect action for nasogastric administration. Choice B reason: Mixing medications together risks incompatibility, clogging the tube or altering efficacy. Administering separately with flushing ensures safety, making this an incorrect and unsafe practice. Choice C reason: Flushing the tube with 30 mL of water before and after administration clears the tube, ensuring patency and complete drug delivery. This standard practice prevents clogs, making it the correct action. Choice D reason: While liquid medications are preferred, some drugs require crushing if safe. Flushing ensures delivery regardless of form, making liquid-only administration unnecessarily restrictive and incorrect.

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