Question

A client is to receive Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:

Flush the NG tube with 2-4mL of water before giving the medication
Administer the medication, flush with 5mL of water, and clamp the NG tube
Flush the NG tube with 5mL of normal saline and administer the medication
Flush the NG tube with 2-4oz of water before and after giving the medication

Answer 1

When giving Dilantin (phenytoin) via a nasogastric (NG) tube, it is necessary to flush the tube with 2-4mL of water before giving the medication. This ensures the tube is clear and functioning properly.

Step-by-step explanation:

When giving Dilantin (phenytoin) via a nasogastric (NG) tube, the nurse should flush the NG tube with 2-4mL of water before giving the medication. This is done to ensure that the tube is clear and functioning properly before administering the medication.

Administering the medication, flushing with 5mL of water, and clamping the NG tube is not the correct procedure, as clamping the tube can prevent the medication from reaching the intended destination. Flushing the NG tube with 5mL of normal saline and administering the medication is also not necessary, as water is sufficient.

Flushing the NG tube with 2-4oz of water before and after giving the medication is excessive and not required. Using a smaller volume of water is more appropriate.