ATI Enteral Tube Feeding
A nurse is caring for a group of clients. The nurse should identify that which of the following clients requires an enteral tube feeding?
A client who has dysphagia (inability to swallow oral nutrition would 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 their nasopharynx. This action facilitates proper insertion of the tube by achieving which of the following?
Closing off the glottis (prohibits the tube from entering the trachea by closing it off and opening the esophagus)
A client receiving enteral tube feeding intermittently is feeling isolated. What intervention is best recommended by the nurse?
Recommend the patient join other patients in the dining hall to maintain normalcy
To determine the length of the nasointestinal tube to insert, a nurse should measure the distance from the tip of the clients nose to the earlobe and from the earlobe to the...
xiphoid process plus 20-30cm more (this approximates the distance from the nose to the stomach for 98% of clients. For duodenal or jejunal placement add 20-30cm)
A nurse is caring for a patient who has dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following formulas should the nurse administer to the client?
Elemental (contain predigested nutrients that are east for a partially functional GI tract to absorb)
What position is best to prevent aspiration during enteral tube feeding?
Fowlers Position
A nurse is preparing to administer a continuous enteral tube feeding to a client. The nurse should take which of the following actions to prevent a complication of the tube feeding?
Limit the formula hangs to 8 hrs. (longer than 12 hrs for an open system and 48 hrs 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 paralytic ileus and requires nutritional support for approximately 2 weeks. Which of the following types of feeding tubes should the nurse anticipate the provider prescribe?
Nasointestinal tube (allows post-pyloric feeding by depositing enteral formula directly into the intestines. This is appropriate for a client who lacks stomach motility (paralytic ileus) and requires short term (less than 4 weeks) enteral feeding.
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 (the only reliable method for verifying initial placement of a small-bore feeding tube)
A nurse is providing teaching about risk for aspiration with a client who is receiving intermittent bolus nasogastric feedings. Which of the following findings should the nurse instruct the client to report?
Persistent coughing (indicates that the distal end of the tube has moved into the respiratory tract.)
