CH 38 M IV Word Scramble
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Question | Answer |
Tube feedings: What position should pt. be in? Why? How long after feeding? | Fowlers; prevent aspiration; 30 mins |
Tube feedings: What is the most critical assessment? | confirmation of placement |
Tube feedings: What is the most reliable way to confirm placement. | radiograph |
Tube feedings: confirming placement of a tube is required before or after feedings? | before |
Tube feedings: which type tube (small or large) does not require confirmation of placement? | large bore tube |
Tube feedings: Name three reliable tests to confirm placement. | Observation of aspirated material, assessment of pH |
Tube feedings: stomach contents are-name 4 characteristics | grassy green, clear and colorless, or brown |
Tube feedings: what is the pH of stomach secretions? | five or less |
Tube feedings: intestinal pH is normally what? | Six or higher |
Tube feedings: what are for methods that lacks scientific support for confirming placement? | stethoscope over the abdomen while injecting air, placing tube in the water to see bubbles, patient's ability to speak, and I was surfing for respiratory symptoms |
Tube feedings: when patient has continuous feedings, placement is usually checked how many times | at least once every shift |
Tube feedings: why is residual monitored? | Prevent overfilling of the stomach |
Tube feedings: Formula remaining in the stomach from a previous feeding | residual |
Tube feedings: how do you check for residual? | syringe to aspirate/withdraw and measure |
Tube feedings: after measuring, what do you do w/ the residual? | returned through the tube to prevent loss of electrolytes |
Tube feedings: name the five rights for feeding | right formula, right amount, right dilution, right schedule, right pt. |
Tube feedings: initial tube feedings are diluted to what strength? | one half or one fourth strength |
Tube feedings: If a pt. can tolerate the feeding, do you give the highest concentration? | no, concentration is gradually increased |
Tube feedings:what appropriate action should the nurse do if the patient has nausea or pain? | Notify physician, stop the feeding |
Tube feedings: Rinse the tube by flushing at least how many mLs of water? | 30 mL |
Tube feedings: if diarrhea occurs, what can you request from the physician? | request decreasing the concentration or the rate of delivery or both for the formula. |
Tube feedings: what may occur with rapid feedings of concentrated formula? | Dumping syndrome |
signs and symptoms of dumping syndrome | cold sweat, abdominal distention, dizziness, weakness, rapid pulse rate, nausea, diarrhea |
name the steps for feeding with a syringe. | Removed plunger from the barrel of the syringe,attached a barrel to the feeding tube, kink the tube to prevent air while pouring formula, hold barrel 12 inches above stomach, allow gravity |
Tube feedings: how many inches should the barrel be held above the stomach? Why is this done? | 12 inches; allows gravity to put formula down tube |
Tube feedings: if using infusion pump to deliver feeding, what should the nurse due to reduce the amount the air forced into the digestive tract? | fill tube w/ formula before connecting it to the feeding tube |
Continuous feeding: How many hours worth of formula is given? Why can't you give more? | no more than 6 hours worth; prevent contamination |
What is the usual amount per hour given in a continuous feeding? | 80-150 ml |
Bolus feedings are given when? | specified intervals |
Bolus feedings are how many mLs over how long | 30-40mLs over 30 to 45 mins |
Tube feedings: what should be changed every 24hrs? | tubing and bag |
Created by:
Jgar2007
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