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    Ati pn paediatrics nursing proctored exam 2023

    A nurse is preparing to administer three medications to a child who is receiving continuous enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Flushing the gastrostomy tube with 10 mL of formula between each medication is incorrect. The nurse should flush the tube with sterile water, not formula, to prevent interactions between the medication and formula, which could cause clogging or reduced medication effectiveness. B. Diluting viscous medications with water is correct. Thick or viscous medications should be diluted with water to facilitate easier administration through the gastrostomy tube and prevent clogging. This ensures proper delivery of the medication to the gastrointestinal tract. C. Adding the medications to the bag of formula is incorrect. Medications should never be mixed directly into enteral feeding formula, as they may cause interactions, alter medication absorption, or clog the feeding tube. Each medication should be administered separately. D. Combining the medications together in one syringe is incorrect. Medications should be administered separately to avoid potential drug interactions, altered medication absorption, and tube blockage. Each medication should be given individually, followed by flushing with water.

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