ch. 44- GI tx modalities

Use semi-fowler position during, and 60 min after an intermittent feeding.

A client receives tube feedings after an oral surgery. The nurse manages tube feedings to minimize risk of aspiration. which measure should the nurse include in the care plan to reduce the risk of aspiration? c

feedings stopped to abruptly

Rebound hypoglycemia is a complication of parenteral nutrition caused by

1 hour

Semi-Fowler position is maintained for at least which timeframe following completion of an intermittent tube feeding?

Shift

The client is on a continuous tube feeding. The nurse determines that tube placement should be checked every

Daily when not in use

The ensure patency of central venous line ports, diluted heparin flushes are used

the potential for aspiration

The most significant complication related to continuous tube feedings is

Monitoring the feeding closely

The nurse cares for a client who receives continuous enteral tube feedings and who is at low risk for aspiration. The nurse assess the gastric residual volume to be 350mL. The nurse determines which action is correct?

feeding

The nurse recognizes the medium-length nasoenteric tubes are used for

potential risk for aspiration

The nurse teaches an unlicensed caregiver about bathing clients who are receiving tube feedings. the most significant complication related to continuous tube feedings is the

catheter hub

The primary source of microorganisms for catheter-related infections are the skin and

acidic (1-5)

What is the pH of gastric aspirate?

digestive enzymes and sodium bicarb

What to use to unclog the tube.-- im not typing the whole q on this one

continuous feedings

What type of feedings should be administered to a client who is at risk of diarrhea due to hypertonic feeding solutions?

pneumothorax

Which condition is caused by improper catheter placement and inadvertent puncture of the pleura?

verification with xray

Which method is best for determining NG tube placement?

Dobbhoff

Which tube is a nasoenteric feeding tube?

Nontunneled catheters

Which venous access device can be used for less than 6 weeks in clients requiring parenteral nutrition?

hang 10% dextrose and water

The nurse cares for a client who receives continuous parenteral nutrition and notices the clients solution has run out. No PN solution is currently available from the pharmacy. What should the nurse do?

RR of 30

The nurse cares for a client who receives feedings through a NG tube and assesses the client for s/sx of pulmonary complications. the nurse determines the client may be experiencing pulmonary complications when which sign is noted?

loose, watery stools

The nurse conducts discharge education for a client who is to go home with PN. The nurse determines the client understands the education when the client indicates a sign and/or symptom of metabolic complications is

every 48 hours

The nurse creates a care plan for a client with a central line receiving PN. How often should the nurse include changing the catheter dressing in the plan?

urinary output 20 mL/ hr

The nurse monitors a client with nasoenteric intubation. When should the nurse contact the physician?

enteric coated tablets

The nurse prepares to administer all of the client's medications via feeding tube. the nurse consults with pharmacy when the nurse notes which type of oral medication on the client's record?

Reassess the residual gastric content in 1 hour

The nurse prepares to give a bolus feeding to a client and determines that the residual gastric content is 150mL. What is the priority nursing action?