Chpt 28: Nutritional Support and IV therapy Flashcards

1
Q

enternal nutrition

A

giving nutrients into the GI tract through a feeding tube

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2
Q

gastronomy tube

A

tube inserted through a surgically created opening in the stomach

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3
Q

regurgitation

A

backward flow of stomach contents into the mouth

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4
Q

jejunostomy tube

A

feeding tube inserted into a surgically created opening in the ejunum of the small intestine

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5
Q

gavage

A

process of giving a tube feeding is called

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6
Q

flow rate

A

is the number of drops/minute

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7
Q

aspiration

A

is breathing fluid, food, vomitus, or an object into the lungs

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8
Q

parenteral nutrition

A

giving nutrients through a catheter inserted into a vein

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9
Q

iv therapy

A

giving fluids through a needle or catheter inserted into a vein

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10
Q

ng tube

A

feeding tube inserted through the nose into the stomach

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11
Q

PEG tube

A

feeding tube inserted into the stomach through a small incision made through the skin

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12
Q

naso-enteral tube

A

a feeding tube inserted through the nose into the small bowel

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13
Q

the doc. may order nutritional support for a person who…

A

cant eat enough to meet his or her nutritional needs
has a prob swallowing
refuses to eat/drink

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14
Q

what tube is used for short-term nutritional support

A

naso-gastric tubes

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15
Q

opened formula for a tube feeding can remain at room temp. for how long

A

8 hours

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16
Q

if a person is receiving intermitternt feedings, the nurse will

A

give the feeding 4 or more times each day

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17
Q

a major risk w/ tube feedings is

A

aspiration

18
Q

if a person is receiving a tube feeding you should report at once

A

s/s of respiratory distress

19
Q

you can help to prevent regurgitation when a person is receiving gavage when you…

A

maintain Fowler’s or semi-Fowler’s position after the feeding

20
Q

when a person is receiving nutrition through a tube, frequent mouth care is neeed because

A

it prevents discomfort from dry mouth, dry lips, and sore throat

21
Q

whoch of these are never done by nursing assistants

A

insert a feeding tube or check it for placement

22
Q

when a person is receiving TPN, the nursing assistant would assist by

A

providing frequent oral hygiene and other basic needs

23
Q

when caring for a perosn receiving IV therpy, the nursing assistant can

A

tel the nruse at once if no fluid is dripping

24
Q

you may change a dressing on a peripheral IV if

A

your state agency allows nursing assitants to perfofrm the procedure

25
Q

gtt stands for

A

drops

26
Q

gtt/min

A

drops per min

27
Q

TPN

A

total parental nutrition

28
Q

nasogastric and naasoenteral tubes are in place for short term nutritional support, usually for less than how long

A

6 weeks

29
Q

gastrotomy, jejunostomy, and PEG tubes are used for long-term support, usually long than how long

A

6 weeks

30
Q

formula is given through a feeding tube at room temp because cold fluids cause

A

cramping

31
Q

it shows good teamwork when you warm a container of formula by placing it…

A

in a basin w/ warm water

32
Q

coughing,sneezing, vomiting, suctioning and poor positioning can move a tube out of place and are common causes OF

A

ASPIRATION

33
Q

what can the nursing assistant do to asist the nurse in preventing regurgitation and aspiration

A
  • position person in flawless/semi-fowlers before feeding
  • maintain, semi-fowlers after feeding
  • avoid left side-lying position
34
Q

what comfort measures will help a person with a feeding tube who has a dry mouth

A

oral hygiene every 2 hrs while awake
lubricate lip Q2 while awake
mouth rinses Q2 while awake

35
Q

the nose and nostrils are cleaned every 4-8 hours because the feeding tube can…

A

irritate an cause pressure on the nose

36
Q

if youre delegated to give a tube feeding the nurse should

A

check tube placement and residual stomach contents

37
Q

if youre delegated to give a tube feeding, the nurse should tell you what

A

what feeding method to use syringe, feeding bag, or feeding pump

38
Q

when delgated to give a tube feeding the nurse should tell you to position the person….

A

fowlers or semi-fowlers

39
Q

how much flushing solution is used before giving a tube feeding to an adult

A

30-60mL to water

40
Q

parental nutrition solution is given intravenously contains…

A

water, proteins, carbs, vitamins, minerals

41
Q

when caring for a person receiving IV therapy what signs and symptoms of complications may occur at the IV site

A
bleeding
blood backing up into IV tube
puffiness swelling
pale/reddened skin
complaints/pain @above the IV site
hot/cold skin near site