Chapter 45 Digestive and Gastrointestinal Treatment Modalities QUIZ
A dressing over the tube outlet and the gastrostomy tube protects the skin around the incision from
seepage of gastric acid and spillage of feeding
Moss
triple-lumen nasogastric tube that also has a Duodenal lumen for postoperative feedings
Levin
Nasoenteric feeding tube about 6ft in length
Nasogastric feeding tubes are used for patients who have the ability to ____ nutrition, fluids, and medications adequately by the gastric route.
receive and process
Three common causes of constipation in a patient who is receiving enteral feedings
Concomitant use of opioids, fiber free tube feeding formulas, inadequate water
A nasally placed feeding tube is for short-term use and should stay in place for no more than how many weeks before being replaced with a new tub
4
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?
6
Provide some reasons for gastric intubation
Decompress the stomach & remove gas/fluid, lavage (flush w/ water or other fluids) the stomach & remove ingested toxins or other harmful materials, diagnose GI disorders, administer tube feedings, medications & fluids, compress a bleeding site & aspirate GI contents
Gastric-Sump Salem
Double-lumen, plastic nasogastric tube about 20 cm in length.
The nurse is assessing 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
Describe the color and differences between gastric aspirate versus intestinal aspirate
Gastric - cloudy & green/large volumes. Intestinal - primarily clear & yellow to bile colored & less volume
The nurse prepares a patient for insertion of a nasoenteric tube. What position should the nurse place the patient in?
High-Fowler's position
The nurse is managing a gastric (Salem) sump tube for a patient 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 lumen above the patient's waist to prevent gastric content reflux.
Dobbhoff or EnteraFlo
Single-lumen, plastic, or rubber nasogastric Tube about 4ft in length
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 from the earlobe to the xiphoid process.
What is the Sengstaken-Blakemore tube used for?
To control bleeding
Sengstaken-Blakemore
Triple-lumen, rubber nasogastric tube (two Lumens are used to inflate the gastric and Esophageal balloons)
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?
Until bowel sound is present Until flatus is passed
Indicated when the esophagus and stomach need to be bypassed or when the patient is at risk for aspiration.
nasoduodenal or nasojejunal feeding
Prokinetic agents can be administered to facilitate _____ movement of the feeding tube into the duodenum.
peristalsis
Feeding patients through tubes placed beyond the pylorus or using ______ agents can decrease the frequency of feeding regurgitation and aspiration.
prokinetic