What is the first step when administering a potassium-containing product through an enteral tube?

• A. Check for placement
• B. Administer with juice
• C. Verify pH of aspirate
• D. Flush with saline

Answer: (A)

Verifying tube placement before giving any medication through an enteral tube is the first safety step. Potassium-containing solutions can cause serious harm if they are delivered into the airway or into the wrong part of the digestive tract, so confirming that the tube is correctly positioned (typically in the stomach) prevents aspiration and misadministration. Use the placement verification method your setting requires—checking aspirate pH, external tube markings/length, or imaging as appropriate. After placement is confirmed, you would proceed with flushing and then administering the medication with the recommended diluent. Administering with juice isn’t the primary concern here, and while pH testing helps verify placement, it isn’t the step you take before any verification of location.