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Concepts of Nursing
Chapter 24
| Question | Answer |
|---|---|
| *Anaphylaxis is | a severe life threatening allergic reaction that can cause airway swelling and difficulty |
| *Anorexia nervosa is a disorder where the person | starve themselves due to fear of gaining weight |
| *Bolus feeding is a prescribed | amount of enteral feeding over a short period usually through tube feeding |
| *Bulimia nervosa is a disorder where | the person binge eats then vomits the food eaten (excessive exercise and laxative use) |
| *Clear liquid diet consists of | transparent liquids that leave little residue in the GI tract (you can see through) (water, tea, broth, apple juice, gelatin) |
| *Enteral nutrition is delivery of nutrients through a | tube feeding |
| *Food tolerance is difficulty | digesting a particular food causing symptoms such as bloating, gas, or diarrhea (does not involve immune system) |
| *Full liquid diet consists or the patient | consuming liquids that are thicker than clear such as soup, milk, cream, pudding, ice cream (dairy based) |
| *Gastric decompression is the removal of | air, fluids, or gastric contents from the stomach using a tube to relieve pressure and distention |
| Hemoglobin A1c is a blood test that measures | the average blood glucose levels over approx. the last 2-3 months (less than 7% is good) |
| Hyperglycemia need a doctors order to treat (typically insulin) | True (High blood glucose levels and is abnormal) |
| *Hypoglycemia usually do not need a doctors order typically just feed them | True (Low blood glucose levels and is abnormal) |
| *Jejunostomy tube (J-Tube) is a tube | inserted into the stomach to the small intestines |
| *Mechanical soft diet consists of | foods that are softened, grounded, chopped, or mashed to make chewing easier ( patients with chewing issues, missing teeth, jaw problems, poorly fitting dentures, or weak and fatigue) |
| *Nasogastric tube is a tube placed through | the nose into the stomach for feedings, medications, and gastric decompression |
| *NPO means | nothing by mouth |
| *Parenteral nutrition is delivery of nutrients directly | into the bloodstream through IV bypassing the gastrointestinal tract |
| *Partial parenteral nutrition (PPN) is IV nutrient that provides | some but not all nutritional meals through the peripheral vein (smaller vein-goes directly into the vein to patient blood stream |
| *Percutaneous endoscopic gastrostomy tube (PEG) is a tube inserted | into the abdominal wall directly into the stomach with endoscopic guidance |
| *Pureed diet consists of | processed foods in a food blender or food processor (texture is thicker than full liquid diet but still swallowed easier) |
| *Total parenteral nutrition (TPN) is IV nutrients that provide | all required nutrients through an central venous catheter (larger vein) |
| *If you see "as tolerated" in the doctor order this means | the nurse can make changes based on what the patient tells them without a doctors order |
| *PPN and TPN require sterile technique | True |
| *3 signs of diabetes are | Polyuria, Polydipsia, and Polyphagia |
| *Polyuria increased | urination |
| *Polydipsia is increased | thirst |
| *Polyphagia is increased | hunger |
| *Common signs of Hyperglycemia are | Polyuria, Polydipsia, Blurred Vision, Death, Confusion, Headache, Hot, Fruity-Smell, Coma |
| *Common signs of Hypoglycemia are | Sweating, Shakiness, Confusion, Irritability, Seizure/Unconsciousness, Clammy Skin, Nausea, Dizziness Headaches, Weakness/Fatigue |
| Which feeding tube goes into the stomach? | NG and PEG tubes |
| Which feeding tube goes into the small intestines? | J-Tube |
| Which nutritional method uses the GI tract? | Enteral nutrition |
| Which nutrition method bypasses the GI tract? | Parenteral, PPN, and TPN |
| *Halitosis | guard against breath odor |
| *Intake means anything | that goes into the body |
| *Output includes all bodily fluids that are lost including | urine, emesis, liquid stool, blood suction, gastric content, and drainage from drainage devices such as HEMO vac and Jackson-Pratt drain |
| *Emaciation is wasting of the body (thinness severe weight loss) | True |
| *Too much Potassium can cause a heart attack | True |
| *Residual gastric volume is the amount of formula that still remains after the previous feeding | True |
| *Hypercalcemia means | High Potassium |
| *Hypocalcemia means | Low Potassium |
| *60-90 ml is normal tube feeding | True |
| *200 ml is not normal, turn tube feeding off and contact a physician | True |
| *Straw color gastric fluid is normal | True |
| *Coffee brown emesis is blood | True |
| *Green gastric fluid is bowel | True |
| When inserting a NG tube while patient is lying flat what are the first 3 step performed on the patient? | Visualize abdomen, Auscultate 4 quadrants, and Palpate Abdomen |
| Percuss abdomen? | No |
| Gastric fluid Ph (in the stomach) should be < 5.5 | True |
| Patient sits up no matter what they eat at 60-90 degree | True |
| NI and NG is measured in | French Scale |
| *Lavage is cleaning/washing out the stomach | True |
Created by:
Daarina Jones