The nurse is giving medications through a percutaneous endoscopic gastrostomy (PEG) tube. Which technique is correct?

Correct Answer: D

Rationale: For PEG tubes (and nasogastric tubes), medications are poured into the barrel of the syringe with the piston removed, and the medication is allowed to flow via gravity into the tube. Fluid must never be forced into the tube. The tubing is to be flushed with 30 mL of tap water (not saline) to ensure that the medication is cleared from the tube after the medication has been given. A 3-mL syringe is too small for this procedure.

Correct Answer: B

Rationale: The American Nurses Association, along with the U.S. Substance Abuse and Mental Health Services Administration, estimates that approximately 10% of healthcare workers, including nurses, will experience substance use disorder during their careers. This aligns with general population rates and reflects the stress and access to medications in the nursing profession.

Correct Answer: B

Rationale: Acetazolamide is a sulfonamide ('sulfa') drug, commonly used as a diuretic or for glaucoma, and can cause allergic reactions in patients with sulfa allergies. Acetohexamide is also a sulfonamide but less commonly used today. Hydralazine and hydroxyzine do not contain sulfa. Based on typical nursing focus, acetazolamide is likely the intended answer.

Correct Answer: D

Rationale: Alginate dressing is a type of dressing that is made from seaweed fibers and is highly absorbent. It is suitable for wounds that have moderate to heavy exudate, as it can absorb up to 20 times its weight in fluid. It also forms a gel-like substance when in contact with wound fluid, which creates a moist environment that facilitates wound healing and autolytic debridement.

Correct Answer: C

Rationale: Foul odor from the wound may indicate an infection or necrotic tissue, which can impair wound healing and increase the risk of sepsis. The nurse should notify the provider and obtain a wound culture if indicated.