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The Nurse Is Preparing Liquid Acetaminophen (Tylenol) Solution

Question 4

Multiple Choice

The nurse is preparing liquid acetaminophen (Tylenol) solution. The recommended dose is 30 mL, which will be provided via the client's gastrostomy tube. A tube feeding is currently infusing through the gastrotomy tube. Which of the following actions by the nurse is best?


A) Measure the liquid in a medicine cup with the meniscus at the 30 mL mark, disconnect the tube feeding, aspirate stomach contents, flush with water, instill the Tylenol, flush with water, and reconnect the tube feeding.
B) Measure the liquid in a medicine cup with the bottom of the fluid at the 30-mL mark, disconnect the tube feeding, aspirate stomach contents, instill the Tylenol, flush with water, and reconnect the tube feeding.
C) Measure the medication with a tablespoon, disconnect the tube feeding, flush with water, instill the Tylenol, flush with water, and reconnect the tube feeding.
D) Measure the liquid with a syringe, disconnect the tube feeding, aspirate stomach contents, instill the Tylenol, and reconnect the tube feeding.

Correct Answer:

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