Question

A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?

A) Metoprolol 25 mg PO daily
B) Warfarin 5 mg PO daily
C) Acetaminophen 500 mg PO every 4 hours as needed for pain
D) Furosemide 40 mg IV push daily

Answer 1

The nurse should clarify prescription B) Warfarin 5 mg PO daily with the provider as the client is NPO and receiving enteral feedings through an NG tube, and the administration of warfarin orally can increase the risk of bleeding.

Step-by-step explanation:

The nurse should clarify prescription B) Warfarin 5 mg PO daily with the provider. Warfarin is an anticoagulant medication and can increase the risk of bleeding. Since the client is receiving enteral feedings through an NG tube and is NPO (nothing by mouth), it is important to confirm if the provider wants the warfarin to be given via the oral route or if an alternative route of administration should be used.

Furosemide prescribed as an IV push does not need to be clarified because it is not administered orally. However, all other medications prescribed PO should be clarified since the client is NPO and medication absorption may be altered when given with enteral nutrition. Pharmacies often provide alternative formulations or routes (like liquid or IV) for medications when a patient is NPO to ensure proper administration and absorption.