Chapter 45
Nasoenteric feeding tube about 6 ft in length
Levin
The nurse is inserting a nasoenteric tube for a patient with a paralytic ileum. How long does the nurse anticipate the tube will be required? (select all that apply)
- Until flatus is passed - Until bowel sound is present - Until peristalsis is resumed
Why must extra caution be taken wheninserting a feeding tube with a stylet
Caution is required when inserting feeding tubes with a stylet because there is risk of tissue puncture or placement error.
Name 3 common causes of constipation for a pt. who is recieving enteranl feeding
Concominant use of opioids, administration of fiber free tube feeding formulas, and inadequate water intake
The nurse inserts a nasogastric tube into the right nares of patient. When testing the tube aspirate for PH to confirm placement, what does the nurse anticipate the PH will be if placement is in the lungs?
6
The nurse is caring for a patient who has dumping syndrome form high-carbohydrate foods begin administered over a period of less than 20 minutes. What is a nursing measure to prevent or minimize the dumping syndrome?
Administer the feeding with the patient in semi fowlers position to decrease transit time influenced by gravity
The nurse is inserting nasogastric tube for patient with pancreatitis. What intervention can the nurse provide to allow facilitation of the tube insertion?
Allow the patient to sip water as the tube is being inserted.
What is the sengstaken- Blakemore tube used for
Control of bleeding esophageal varices
The physician ordered a nasoenteric feeding tube with a tungsten weighted tip. The knows to obtain what kind of tube?
Dobhoff
Single lumen, plastic or rubber nasogastric tube about 4 ft in length
Dobhoff, or Enteraflo
The nurse assesses a patient who recently had a nasoenteric intubation. Symptoms of oliguria, lethargy, and tachycardia in the patient would indicate to the nurse what common complication?
Fluid volume deficit
What is the visual difference between the color of gastric aspiration and the color of intestine aspiration
Gastric aspirate is most frequently cloudy and green, tan, off white, or brown and may be large volume. Intestinal aspirate is primarily clear, and yellow to bile colored and typically smaller volume.
Double lumen, plastic nasogastric tube about 20 cm in length
Gastric sump salem
The nurse is caring for a comatose patient and administering gastrostomy feedings. What does the nurse understand is the reason that gastrostomy feedings are preferred to nasogastric feedings in the comatose patient?
Gastroesophageal sphincter is intact, lessening the possibility of regurgitation
The nurse is caring for patient who has a gastrostomy tube feeding. Upon initiating her care, the nurse aspirates the gastronomy tube for gastric residual volume and obtains 200 mL of gastric contents. what is the priority action by the nurse?
Place the patient in a Fowlers position with the head of the bed at 45 degrees
A nurse prepares a patient for insertion of a nasoenteric tube. What position should the nurse place the patient in?
In high fowlers position
A patient has had a gastrostomy tube inserted. what does the nurse anticipate the initial fluid nourishment will be after the insertion of the gastrostomy tube?
10% glucose and tap water
A nasally placed feeding tube is for short - term use and should stay in the place for no more than ____ weeks before being placed with a new tube.
4
Describe the purpose for the gastric intubation
Decompress the stomach and remove gas and fluid
The nurse is management a gastric (Salem) sump tube for patent who has an intestinal obstruction and will be going to surgery. What interventions should the nurse perform to make sure the tube is functioning properly?
Keep the vent lumber above the patients waist to prevent gastric content reflux
When giving inital tube feeding, the nurse would look for ____ around the tube site on the abdomen.
Leakage of fluid
Triple lumen nasogastric tube that also has a duodenal lumen for postoperative feedings
Moss
____ &_______ feeding is indicated when the esophagus and stomach need to be bypassed or when the patient is at risk for aspiration
Nasoduodenal nasojejunal
prokinetic agents can be administered to facilitate___ movement of the feeding tube into the duodenum
Peristaltic
Feeding patients through tubes placed beyond the ____ or using____ agent can decrease the frequency of feeding regurgititation and aspiration.
Pylorus prokinetic agents
Nasogastric feding tube are used for patients who have the ability to ____ and _____ nutrition , fluids, and medications adequately by the gastric route
Recieve process
Ad ressing over the tube outlet and gastrostomy tube oritects the skin around the incision from _____&_____
Seepage of gastric acid Spillage of feeding
Triple lumen, rubber nasogastric tube (two lumens are used to inflate the gastric and esophageal balloons)
Sengstaken Blakemore
The nurse is inserting a Levin tube for a patient for gastric decompression The tube should be inserted to 6 to 10 cm beyond what length?
The distance measured from the tip of the nose to the earlobe and form the earlobe to the xiphoid process
The nurse is inserting a nasogastric tube and the patient begins coughing and is unable to speak. What does the nurse suspect has occurred?
The nurse has inadvertently inserted the tube into the trachea.
The nurse is inserting a sump tube in a patient with crohns disease who is suspected of having a bowel obstruction. What does the nurse understand is the benefit of the gastric (Salem) sump tube in comparison to some of the other tubes?
The tube is radiopaque
The nurse checks residual content before each intermittent tube feeding. When should the patient be reassessed?
When the residual is greater than 200 mL
