Place the following steps in the correct order for the nurse to provide Prevacid (lansoprazole) 15 mg capsule qd through an NG tube.
A) Flush NG tube with 20 mL water
B) Check chest x-ray results to verify NG tube placement.
C) Flush NG tube with additional 20 mL water or apple juice.
D) Open capsule and mix contents with 40 mL apple juice.
E) Inject medication mixture through the NG tube.
F) Aspirate NG tube and check pH of aspirate.

Question

Quizplus · Accepted Answer

Before administering any medication via an NG tube, it is essential to verify the placement of the tube. Therefore, step B comes first. After confirming the placement, the nurse needs to flush the tube with 20 mL of water (A) to ensure the tube is clear and patent. Following this, the nurse needs to check the pH of the aspirate (F) to ensure proper tube placement and that the medication is not being delivered to the wrong site. Next, the nurse should open the capsule and mix the contents with 40 mL of apple juice (D) to help the medication pass through the tube more comfortably. The tube should then be flushed again with an additional 20 mL of water or apple juice (C). Lastly, the nurse should inject the medication mixture through the NG tube (E).

Place the Following Steps in the Correct Order for the Nurse