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Enternal and Parenteral NutritionMedical-Surgical Nursing-7th edition

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Question Answer
Isometric tube feedings whether intermittent or continuous should be started at _______.
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Full strength (300-400 mOsm)
PICCs are started in a vein of the _______ and threaded into the _______.
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forearm; subclavian or superior vena cava
Parenteral nutrition with greater than 10% dextrose requires _______ placed in an area like the superior vena cava.
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Central Venous Catheter (CVC)
Clients with short-term nutritional needs often receive IV solutions of _______ via a peripheral vein.
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less than 10% dextrose
You observe oil droplets and/or a creamy layer in a 3 in 1 admixture. You know this means...
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The emulsion has turned into large droplets that can result in fat emboli if administered.
What is a 3 in 1 admixture?
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Parenteral nutrition solution with lipid emulsion infused over 24 hours.
What is the difference between EN and PN therapy?
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EN = GI works and via tube; PN = GI doesn't work or client in poor physiological state. IV feeding.
Who should receive parenteral nutrition?
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People unable to digest or absorb enteral nutrition; sepsis; head injury; and burns.
Severely malnourished clients are at risk for _______ from enteral or parenteral nutrition.
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Refeeding Syndrome ; cations K+ and Magnesium and Phosphate more intracellularly.
What should be reported after an enteral feeding?
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Amount and type of feeding; response to tube feeding/tolerance; patency of tube; condition of skin if tubes placed in abdominal wall; and SE.
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What should you do if a client vomits and aspirates formula?
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Position client in side lying, suction airway, notify HCP, and obtain chest x-ray.
What should be done if a patient develops n/v while receiving enteral feedings?
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Notify HCP, check tube patency, and aspirate for residual.
What should be done for a patient on enteral feedings that develops diarrhea 3 times in 24 hours?
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Notify HCP, confer with dietician, institute skin care measures, and change antibiotics if patient is on them.
Finger-stick glucose should be done every _______ hours until max enteral feeding administration rate is reached and maintained for 24 hours.
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8 hours
A client receiving enteral feedings should have a new bag and admin. set every _______.
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24 hours
What should you do if the gastric residual is greater than 200 mL?
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Hold feeding, notify HCP, maintain patient in elevated bed at least 30 degrees, and check residual in one hour.
What is the daily free water requirement?
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30-35 mL/kg/day
Check Residual - _______mL of air injected; _______mL of GRV aspirated; _______mL of water to flush line.
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30 mL air; 5-10 mL - 200 mL; 30 mL water
A feeding bag used for an enteral feeding should be set to empty in _______ to avoid discomfort like vomiting.
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30-60 minutes
Why are aspirated gastric contents (prior to enteral feeding) returned once the residual is measured?
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Prevents fluid and electrolyte imbalances.
If enteral feedings are conducted, a gastric residual of _______ is an indication of delayed gastric emptying.
Show Answer
200 mL
  
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