2024 PN NCLEX Questions Nursing Practice Question
The nurse receives an order to administer phenytoin through the client's J-tube. The order instructs that tube feedings are stopped at least an hour prior to administering the medication and an hour after the medication is administered. Which of the following considerations may be a reason to discuss this order with the physician?
Correct Answer: B
Rationale: Administering phenytoin through a J-tube requires consideration of the client’s feeding regimen. Stopping tube feedings before and after medication administration is crucial to ensure proper absorption of phenytoin. If the client is on a continuous tube-feeding regimen, this schedule may disrupt the feeding and medication timing, potentially leading to inadequate medication levels.
Option A, a history of Type II diabetes, does not directly impact the administration of phenytoin. Option C, being on fluid restriction, is unrelated to the timing of medication administration. Option D, receiving phenytoin in tablet form, is irrelevant as the question pertains to J-tube administration, not the form of medication.