NR 449 Week 3 Individual Assignment Individual APA Review Assignment

1. When administering medications through a feeding tube, it is recommended that sustained/extended-release drugs should be avoided. Crushing these medications can result in rapid release of a large amount of product at one time, resulting in erratic blood levels and possible toxic levels of the drug (Guenter & Boullata, 2017). 2. The gold standard for checking feeding tube placement is radiography; an electro-magnetic tube-placement device (ETPD) is sometimes used in lieu of an x-ray for this purpose. However, many cases have been reported where clinicians failed to recognize tube misplacement in the respiratory tract of patients. “Thus, one must continue to question the wisdom of eliminating radiographic confirmation of tube position before starting feedings” (Metheny & Meert, 2017, p. 157). 3. Between , the database reported that there had been 25 cases of feeding tubes inadvertently placed in the respiratory tract using ETPD; 17 of these cases resulted in pneumothorax (Metheny & Meert, 2017). 4. Guenter and Boullata (2013) assessed nurses’ knowledge of evidence-based