Chapter 44: Digestive and Gastrointestinal Treatment Modalities 2

Administers an initial bolus of 50 mL water

A client is recovering from percutaneous endoscopic gastrostomy (PEG) tube placement. The nurse

Sterile water at 30 mL/h

A client has had a gastrostomy tube inserted. What does the nurse anticipate the initial fluid nourishment will be after the insertion of the gastrostomy tube?

280

A patient has a gastric sump tube attached to low intermittent suction. The nurse empties the suction collection chamber and records an output of 320 mL for this 8-hour shift. The record shows that the tube had been irrigated with 20 mL of normal saline twice this shift. What would be the actual output of the gastric sump tube?

6 p.m. to 8 p.m.

A patient is receiving a continuous tube feeding. The nurse notes that the feeding tube was last irrigated at 2 p.m. The nurse would plan to irrigate the tube again at which time?

Hang a solution of dextrose 10% and water until the new solution is available.

A patient is receiving parenteral nutrition. The current solution is nearing completion, and a new solution is to be hung, but it has not arrived from the pharmacy. Which action by the nurse would be most appropriate?

Gastroesophageal sphincter is intact, lessening the possibility of regurgitation and aspiration.

Gastrostomy feedings are preferred to nasogastric feedings in the comatose patient, because the:

Infuse a solution containing 10% dextrose and water.

The client is receiving a 25% dextrose solution of parenteral nutrition. The infusion machine is beeping, and the nurse determines the intravenous (IV) bag is empty. The nurse finds there is no available bag to administer. What is the priority action by the nurse?

Levin tube

The health care provider orders the insertion of a single lumen nasogastric tube. When gathering the equipment for the insertion, what will the nurse select?

catheter hub.

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

Catheter hub

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

daily when not in use.

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

continuous feedings

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

Nontunneled central catheter

A client is to receive parenteral nutrition for 4 weeks. What type of catheter would the nurse prepare to teach the client about the planned nutrition?

digestive enzymes and sodium bicarbonate

The nurse attempts to unclog a client's feeding tube. Attempts with warm water agitation and milking the tube are unsuccessful. The nurse uses evidence-based practice principles when subsequently using which technqiue to unclog the tube?

hang 10% dextrose and water

The nurse cares for a client who receives continuous parenteral nutrition (PN) through a Hickman catheter and notices that the client's solution has run out. No PN solution is currently available from the pharmacy. What should the nurse do?

Monitoring the feeding closely.

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

6

The nurse inserts a nasogastric tube into the right nares of a 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?

Place the client in a semi-Fowler's position with the head of the bed at 45 degrees.

The nurse is caring for a client who has a gastrostomy tube feeding. Upon initiating care, the nurse aspirates the gastrotomy tube for gastric residual volume (GRV) and obtains 200 mL of gastric contents. What is the priority action by the nurse?

Administer the feeding with the patient in semi-Fowler's position to decrease transit time influenced by gravity.

The nurse is caring for a patient who has dumping syndrome from high carbohydrate foods being administered over a period of less than 20 minutes. What is a nursing measure to prevent or minimize the dumping syndrome?

Until peristalsis is resumed Until bowel sound is present Until flatus is passed

The nurse is inserting a nasoenteric tube for a patient with a paralytic ileus. How long does the nurse anticipate the tube will be required? (Select all that apply.)