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BSN 246 enteral nutr
| Question | Answer |
|---|---|
| _________ nutrition is preferred because it is less expensive than parenteral nutrition and maintains functioning of the gut | Enteral |
| An example of the parenteral route is | Subcutaneous or Ism injections, or the IV route |
| Gastric feedings may be given to patients with a low risk of | Aspiration |
| ______ feeding is the preferred method if there is risk for aspiration | Jejunal |
| ________ nutrition is provided if the patients GI tract is nonfunctional | Parenteral |
| Enteral feedings may be administered by | Continuous feeding pump, intermittent gravity drip |
| Enteral feedings will help provide | Additional calories |
| Enteral feedings help prevent from getting ______ again from choking | Pneumonia |
| Tube feedings are less likely to cause ______than getting nutrients by IV infusion | Infection |
| Patients who Benefit from enteral nutrition | Patient with a brain injury, oral cancer, burns of lower extremities, a patient who has difficulty swallowing |
| What is the greatest risk from having a tube feeding | Aspiration |
| For intestinal placement of a feeding tube in what position should the nurse place the patient while waiting for radiological confirmation of correct placement | On the patients right side |
| A student asks a nurse about the differences between nasogastric and nasointestinal feedings which statements are correct | Gastric aspirate is expected to have a lower pH than intestinal aspirate. The advantage to an NI tube is that there is less risk for aspiration. Both NG and NI tubes are usually used for less that 30 days |
| The patient begins to cough and choke as the nurse is inserting the NG tube what do you do | Pull the tube back into the posterior nasopharynx and attempt to reinsert |
| Purpose of guide wire | Because feeding tubes are flexible a guide wire or stylet is used to provide rigidity that facilitates positioning |
| If the patients vomits during insertion of NG tube and continues to gag what do you do | Suction airway as needed, position patient on side, contact healthcare provider for possible chest x-ray |
| Identify signs and symptoms of accidental respiratory migration of feeding tube | Coughing, choking, decreased pulse oximetry |
| Identify the appropriate times to verify enteral tube placement by pH testing | Before each intermittent fasting, at least once every 6 hours during continuous feedings, before administration of medications through the tube |
| If the nurse suspects the NG feeding tube has migrated the nurse should | Stop any enteral feedings and obtain an order for a chest x-ray film to determine placement |
| Gastric pH should measure | 1-5 |
| The nurse notices that the mark on the tube has moved away from the naris which action should the nurse take? | Advance the tube until the mark is even with the naris and verify correct tube placement |
| The nurses discuss feeding tube migration and prevention | A feeding tube can enter the airway without causing obvious respiratory symptoms |
| The nurse suspects the patients feeding tube has migrated. Which of the following would indicate the greatest risk related to tube migration | Dyspnea and decreased oxygen saturation |
| Risk factors for spontaneous enteral tube dislocation | Vomiting, nasotracheal suctioning, altered level of consciousness, agitation |
| What addresses accurate principles of infection control when performing tube irrigation | Change irrigation bottle every 24 hours, perform hand hygienenand gloves, tap water should not be used, sterile water may be critical for patients who are critically ill |
| If unable to instill fluid for irrigation then you should | Reposition patient in left side lying position and try again |
| Patient should be placed in ________ for tubal irrigation | High or semi fowlers |
| Irrigation of nasogastric feeding tube requires _______ in the syringe | 30 ml |
| The nurse should _____ feeding tube while removing plug st the end of the tube. To prevent leakage of gastric secretion s | Kink |
| When to flush a feeding tube | Before medication administration, before intermittent feeding, between medications, after medication administration |
| The nurse should ______ the gastric aspirate to the patient's stomach to prevent an alteration in elecrolyibakaancr and administration the tube feeding as prescribed | Return |
| Gastric residual of 200-500 mL should | Raise concern |
| Normal residual for a nasoenteric tube is in the | 10 mL or less range |
| Raise bed to _____ for NG tube feeding | 30 degrees |
Created by:
Hydecar