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concept of nursing 1
Enteral nutrition 3
| Question | Answer |
|---|---|
| Identify signs and symptoms of accidental respiratory migration of a feeding tube. | -Coughing. -Choking. -Decreased pulse oximetry. |
| Identify the appropriate times to verify enteral tube placement by pH testing | -Before each intermittent feeding. -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 |
| The nurse aspirates stomach contents from a newly inserted feeding tube. The nurse is aware the patient has been on the proton pump inhibitor omeprazole. The pH strip reads "3." | -- |
| Where should the nurse expect the x-ray film to identify placement of the feeding tube? | In the stomach. |
| The nurse observes a confused patient pulling at her NG feeding tube. As the nurse retapes the tube to the bridge of the patient's nose, the nurse notices that the mark on the tube has moved away from the naris. What action should the nurse take? | Advance the tube until the mark is even with the naris and verify correct tube placement. |
| The nurses are discussing feeding tube migration and prevention. Which of the following statements indicates correct understanding? | A feeding tube can enter the airway without causing obvious respiratory symptoms. |
| The nurse suspects the patient’s feeding tube has migrated. Which of the following would indicate the greatest risk related to tube migration? | Dyspnea and decreased oxygen saturation. |
| Which of the following, if exhibited by the patient, may increase the risk for spontaneous enteral tube dislocation? | -Vomiting. -Nasotracheal suctioning. -Altered level of consciousness, agitation. |
Created by:
Lightnning54
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