Campus Collusion
Review Questions for Test Preparation

       
    

  



Enternal and Parenteral NutritionMedical-Surgical Nursing-7th edition

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 6
Skip Navigation Links
Question Answer
Leukine or Prokine (sargramostim) stimulate growth of...
Show Answer
GM - CSF; granulocyte - monocyte; monocytes and neutrophils
Diet after GI surgery, Diet after vomiting, GI bleed, Dumping Syndrome, and Colectomy.
Show Answer
GI: Increase protein, decrease carbs, Vomit: Increase carbs, GI bleed: Decrease fiber, Dumping: Decrease carbohydrates, medium protein, and Colectomy: Decrease fiber, decrease dairy, no cold foods, B12, iron, zinc, folic acid, Ca supplements.
Locations of GI obstruction? Rapid Nausea = _______, Gradual = _______, Frequent, copious vomiting = _______, Crampy, colicky, intermittent pain = _______, and Persistent abdominal pain = _______.
Show Answer
Rapid nausea = small intestine, Gradual = large intestine, Vomiting = small intestine, Colicky pain = small intestine, and Persistent pain = large intestine.
Vomit: Projectile without nausea = _______, Fecal smell = _______, Bile = _______, Coffee ground = _______, and Partially digested food = _______.
Show Answer
Projectile = CNS tumor, Fecal = obstruction above pylorus, low bowel, Bile = obstruction below ampulla, Coffee = gastric bleed, and Digested = obstruction gastric outlet.
A patient has coughed or vomited and displaced their nasoenteric tube. What should you do?
Show Answer
Check the exit site mark to determine the amount of displacement. Aspirate the GI contents and measure the pH. If necessary, remove the tube and insert a new one. Verify placement. Get the Dr. to order a chest X-ray if aspiration is suspected.
A nasoenteric tube has gotten clogged, what should you do?
Show Answer
Aspirate gastric contents to assess patency of the tube. Irrigate the tube. If it is still clogged, notify the Dr. and prepare to insert a new tube.
What should be reported and recorded regarding the insertion of a nasoenteric tube?
Show Answer
Type and size of the tube. Location of the distal tip of the tube (exit mark). Client's tolerance of the insertion. Gastric pH. Confirmation of placement via X-ray.
What complication of a nasoenteric tube insertion should be reported to the physician immediately?
Show Answer
Any signs and symptoms that can indicate aspiration.
When obtaining GI aspirate for pH measurement, you should wait at least ________ after medication is administered.
Show Answer
One hour
Gastric fluid from a patient who has fasted for at least 4 hours usually has a pH of _______.
Show Answer
1 to 4
Download these questions to your phone here
Fluid from nasointestinal tubes in a fasting patient usually has a pH ______.
Show Answer
Greater than 6
Patients with continuous tube feeding often has a pH of ______.
Show Answer
5 or higher
If a medication must be administered via NG, feeding, intestinal or G tubes, you should avoid medications or elixirs with a pH less than _______.
Show Answer
4
True or False? If a patient is being fed enterally, never add medications directly to the feeding tube.
Show Answer
True. Stop the infusion 1 to 2 hours before and restart the infusion 1 to 2 hours after.
Crushed tablets, gelatin capsules and powders should be dissolved in ______ mL of warm water for a tube administration.
Show Answer
15 to 30 mL
If a patient is receiving several medications via a feeding tube, what should be done in between each administration?
Show Answer
Flush the tube with 15-30 mL of water, when done with all of the medications, flush with an additional 30-60 mL.
How is the placement of a nasoenteric tube verified?
Show Answer
Check the position in the back of the throat with a penlight. Measure the gastric pH and get a chest X-ray.
How do you help a patient that has aspirated stomach contents immediately after a nasoenteric tube insertion?
Show Answer
Position them on their side, suction them both nasotracheally and orally, ask the Dr. to order a chest X-ray.
How do you help a patient that has aspirated stomach contents a while after a nasoenteric tube insertion?
Show Answer
Ask the Dr. to order a chest X-ray and prepare to administer antibiotics.
What are signs and symptoms that a patient has aspirated stomach contents during a nasoenteric tube insertion into the respiratory tract?
Show Answer
The patient immediately starts coughing and has dyspnea, cyanosis, and crackles or wheezes
What is the pH of a properly placed nasoenteric tube?
Show Answer
0 to 4
  
Page 6 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links