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Enternal and Parenteral NutritionMedical-Surgical Nursing-7th edition

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For patients at risk for gastric reflux, enteral feedings are administered via ______ feedings.
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Jejunal
Patients with a decreased risk of gastric reflux receive enteral feedings via _______.
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A gastric tube (G tube)
Periactin, Megace, and Marinol are all medications that impact a patient's ________.
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Appetite (they increase it)
Insulin, glucocorticoids and thyroid hormones impact __________; this impacts a patient's nutritional needs.
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Metabolism
True or False? A patient with a preexisting diagnosis of GERD has an increased risk of aspiration.
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TRUE
A client on aspiration precautions should remain upright for ________ after feedings.
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30 minutes
_______ formulas are 1 to 2 kcal/mL and are designed to meet the nutritional needs created by specific illnesses.
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Specialty
A serious complication of enteral feedings is?.
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Aspiration of formula into the tracheobronchial tree which leads to formula getting into the lungs-essentially, pneumonia
________ is an outcome frequently associated with pulmonary aspiration of enteral feedings.
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ARDS
What 5 factors can increase the risk of aspiration from enteral feedings?
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Coughing, nasotracheal suctioning, artificial airway, decreased level of consciousness or lying flat.
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Prokinetic medications like metoclopramide, erythromycin, or cisapride promote gastric emptying, thereby decreasing the risk of _______.
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Aspiration
A person with enteral feedings should be in a bed elevated to _______ degrees.
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30 degrees or higher
What are indications that a patient needs to be enterally fed?
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A NPO order, insufficient intake for more than 5 days with a functional GI tract, or a patient unable to ingest sufficient nutrients.
Gastrostomy and jejunostomy tubes are inserted via _________ and percutaneous gastronomies and jejunostomies are inserted via ________.
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G tubes and J tubes are inserted surgically, PEG tubes and PEJ tubes are inserted endoscopically.
If a gastric residual volume is over ______ mL for 2 successive measurements, withhold the feeding and reassess the patient's tolerance.
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200 mL
Gastric residual volume should be measured every _____ hours.
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4 to 6 hours
What things can a nurse do to decrease or eliminate diarrhea caused by enteral feedings?
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Ensure canned formula is room temperature, follow strict sanitation principles, increase the flow rate slowly, and if the solution is hypertonic, give it 1/2 strength initially and work up from there.
  
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