Evolve HESI Practice Exam

What should nurses monitor after administering medication through an NGT?

1. Client’s ability to speak.

2. Tube patency and the client’s response.

3. Current blood pressure levels.

4. Blood glucose levels.

The correct answer is: Tube patency and the client’s response.

Monitoring tube patency and the client’s response after administering medication through a nasogastric tube (NGT) is essential for several reasons. First, ensuring tube patency is crucial because any obstruction can prevent the medication from being delivered effectively to the digestive tract. If the tube is blocked, it may result in improper dosing or a complete failure to administer the medication, which could hinder the patient's treatment plan. Secondly, observing the client’s response to the medication helps evaluate its effectiveness and identify any adverse reactions. This is particularly important since some medications can cause unexpected side effects, especially when administered via NGT, where absorption can differ from oral administration. By monitoring the client’s response, nurses can provide timely interventions if any complications arise. The other options, while important in different contexts, do not directly align with the specific responsibilities following medication administration through an NGT. For instance, monitoring the client's ability to speak might not be relevant unless the medication affects the neurological status or muscle control. Current blood pressure levels and blood glucose levels are also vital indicators of health but do not specifically pertain to the immediate monitoring needs after giving medication via NGT.