# Drag each enteral-tube medication action into the appropriate safety category.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522667&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

Drag each enteral-tube medication action into the appropriate safety category.

**1.** Verify tube location and medication formulation

Select a category
Unsafe shortcut
Protective practice

**2.** Flush with water before and between separately administered medicines

Select a category
Unsafe shortcut
Protective practice

**3.** Ask pharmacy before crushing an unfamiliar dosage form

Select a category
Unsafe shortcut
Protective practice

**4.** Mix all medicines together with formula

Select a category
Unsafe shortcut
Protective practice

**5.** Use cola as the first treatment for a clogged tube

Select a category
Unsafe shortcut
Protective practice

**6.** Force a tablet fragment through with a rigid object

Select a category
Unsafe shortcut
Protective practice

## Explanation

Safe enteral medication practice verifies tube location, uses water flushes, gives medications separately, and seeks pharmacy guidance for formulation or feeding interactions. Mixing drugs together, adding them to formula, or using cola to clear a clog is unsafe.

## In-depth explanation

Quick answer
Separate verification and water-based technique from shortcuts that create interactions or occlusion.

Why this is correct
A feeding tube is an access device, not a mixing vessel. Formulation, tube location, flush volume, feeding interaction, and clog response all require deliberate checks.

Easy analogy or mental picture
Treat every infusion as a controlled clinical system: verify the product and access, recognize a changing cue, stop preventable exposure, stabilize the client, and confirm the response.

Memory hook
Product, access, compatibility, infusion cue, protective action, and reassessment.

NCLEX decision rule
Choose the action that prevents the most immediate infusion-related harm while preserving vascular access and the ordered diagnostic evidence.

Why the other choices are wrong
Options that restart a suspect product, bypass a safety device, force an occluded tube, or delay reassessment can convert a reversible warning into serious harm.References
1ASPEN Safe Practices for Enteral Nutrition TherapyTube-location verification, water flushing, separate medication administration, and evidence-based clog prevention and management

## Clinical scenario

Blood product, nutrition, and intravenous-fluid safety review
Verify the product, prescription, route, access device, filter or tubing, compatibility, baseline findings, emerging adverse cues, response plan, and measurable follow-up.

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_For study reference only. Always follow current clinical guidelines and your institution’s protocols._