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Enternal and Parenteral NutritionMedical-Surgical Nursing-7th edition

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What is the pH of a properly placed nasoenteric tube?
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0 to 4
Why is the abdomen auscultated for bowel sounds prior to inserting a nasoenteric tube?
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Absence of bowel sounds indicates decreased or absent peristalsis, which is an increased risk for aspiration or abdominal distention.
Who is contraindicated for nasoenteric tubes?
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Patients who: have had recent nasal surgery, facial trauma, recent nosebleeds, are on anticoagulants, or has had a transsphenoid pituitary tumor removal.
Nasogastric or nasointestinal tubes are normally _____ to ______ French for an adult.
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8 to 12 French (36 to 44 inches)
How many mL of gastric fluid are required to adequately test pH?
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5 to 10 mL
For accurate pH measurement of gastric fluid ______ mL of air is injected in the enteral tube to flush out formula, medications or solutions.
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30 mL
Clients with a history of aspiration pneumonia require enteral tube placement in the _______.
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Intestine
Clients with gastroparesis or esophageal reflux require enteral feeding tube placement in the ________.
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Intestine
If enteral nutrition therapy is for longer than 4 weeks, _______ tubes are used.
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Surgically or endoscopically placed tubes (i.e. a G-tube, J-tube, button, etc.)
Which tube of NG tubes are usually used for gastric decompression?
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Large bore tubes, usually 12 French and up. A Salem Sump tube is preferred.
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The pigtail on a Salem Sump tube (used for gastric decompression) should never be?
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Clamped, connected to suction or used for irrigation
______ technique is required for NG tube insertion.
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Clean
What is the greatest problem for a patient related to their NG tube?
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Maintaining comfort because it is very irritating to the nasal mucosa.
True or False? Any change in tube position requires another verification of placement.
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TRUE
True or False? A patient with a NG tube shouldn't be moved to prevent displacement.
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False. Turning a patient regularly helps to collapse gastric secretion channels and promotes emptying of stomach contents.
You would expect to hear bowel sounds that are ______ in pitch or tinkling if a distention is present.
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High pitched
_______ formulas contain 1 to 3 kcal/mL and have predigested nutrients that are easier for a partially dysfunctional GI tract to absorb.
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Elemental
________ formulas supply 3.8 to 4 kcal/mL and are single macronutrient preparations. It is added to other foods.
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Modular
_______ formulas are only effective if the GI tract can absorb whole nutrients.
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Polymeric
_______ enteral formulas include milk based blenderized foods. They are whole nutrient formulas and have 1 to 2 kcal/mL.
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Polymeric
For patients at risk for gastric reflux, enteral feedings are administered via ______ feedings.
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Jejunal
  
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