For a client with a nasogastric tube needing a capsule medication, what is the appropriate nursing action?

The appropriate action when administering medication via a nasogastric tube for a client needing a capsule is to open the capsule, mix the contents with liquid, and then instill it into the tube. This is correct because many capsules are not designed to be swallowed whole or crushed, as doing so can alter the release mechanism of the medication or cause irritation. By opening the capsule and mixing the contents with an appropriate liquid, the medication can be delivered safely and effectively through the tube.

The nursing action allows for the medication to retain its intended therapeutic effect while ensuring that it is safely administered to the client who cannot take medications orally. Proper mixing and instillation can also help to ensure that the entire dose of medication is delivered, reducing the risk of clogs in the nasogastric tube.

Using a whole capsule, crushing it, or skipping the medication altogether may not be suitable. Administering a whole capsule would block the tube, crushing could lead to altered effectiveness, and skipping would potentially leave the patient without necessary treatment. Therefore, opening the capsule and preparing the medication properly is the best approach.