ATI Eternal Tube Feeding
A nurse is caring for a grooup of clients. The nurse should identify that which of the following clients requries an enternal tube feeding?
A client who has dysphagia - The nurse should identify that a client who is unable to swallow oral nutrition can benefit from enteral feedings.
A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. This action facilitates proper insertion of the tube by achieveing which of the following?
Closing off the glottis - This action prohibits the tube from entering the trachea by closing it off and opening the esophagus.
A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enternal feeding. WHich of the following formulas should the nurse administer to the client?
Elemental - Elemental formulas contain predigested nutrients that are easy for a partially functional gastrointestinal tract to absorb.
A client who lives in a long-term care facility is recieving intermettent enteral feedings and is a experiencing social isolation. Which of the following interventions should the nurse reccomend?
Encourage the client to go to the dining room at meal times to talk with other clients. - By encouraging the resident to maintain a normal schedule and social interactions, the nurse is helping to promote socialization and reverse patterns of isolation.
A nurse is preparing to administer a continuous enternal tube feeding to a client. The nurse should take which of the following actions to prevent a complication of the tube feeding?
Limit the time the formula hangs to 8 hr. - Formula that hangs longer than 12 hr for an open system and 48 hr for a closed system is at risk for spoilage of the formula or bacterial contamination, typically manifested as diarrhea.
A nurse is caring for a client who has a significant risk of aspiration and requires nutritional support for about 2 weeks because they are unable to consume adequete nutrients orally. Which of the following types of feeding tubes should the nurse anticipate the provider to prescribe?
Nasointestinal
A nurse is inserting a small-bore feeding tube. Before initiating the feeding, the nurse should take which of the following actions to verify placement
Obtain an x-ray.
A nurse is providing teaching about risk for aspiration with a client who is recieving intermitted bolus nasogastric feedings. WHich of the following should the nurse instruct the client to report?
Persistent coughing - A persistent cough can indicate that the distal end of the nasogastric tube has moved into the respiratory tract. The client should report this finding to the nurse immediately because this is a risk for aspiration.
A nurse is administering an enteral tube feeding to a client. Which of the following actions should the nurse take to prevent aspiration
Place the client in Fowler's position. - Positioning a client in Fowler's position during a tube feeding can reduce the risk of regurgitation, which can lead to aspiration. If Fowler's is uncomfortable or contraindicated for the client, elevate the head of the client's bed to at least 30°.
To determine the length of a nasointestinal tube to insert, a nurse should measure the distance from the top of the client's nose to the earlobe and from the earlobe to the
xiphoid process plus 20 to 30 cm more. - Measuring from the tip of the nose to the earlobe to the xiphoid process approximates the distance from the nose to the stomach for 98% of clients. For duodenal or jejunal placement, an additional 20 to 30 cm is required.