enteral medications - foster

Question 1

nasogastric

Answer 1

NG, through nose

Question 2

closed system

Answer 2

bag you never open

Question 3

open system

Answer 3

long term, nutrition solution prepared by nurse at bedside

Question 3

open system

Answer 3

long term, nutrition solution prepared by nurse at bedside

Question 4

types of infusion [4]

Answer 4

continuous, cyclic, intermittent, bolus

Question 5

continuous nutrition

Answer 5

constant

Question 6

continuous nutrition administered over ____________ period

Answer 6

24 hr.

Question 7

a patient on continuous nutrition has to have a bed at

Answer 7

30 degrees

Question 8

cyclic nutrition is often administered at

Answer 8

night

Question 9

what do you flush with at the end of cyclic nutrition period

Answer 9

30 mL of sterile water

Question 10

what do you flush with at the end of the cyclic nutrition period

Answer 10

30 mL of sterile water

Question 11

how many feedings are recommended with intermittent nutrition

Answer 11

4-6 feedings

Question 12

how long is intermittent nutrition administered

Answer 12

at least 30 mins

Question 13

bed position of intermittent nutrition

Answer 13

HOB up at least 1 hour after each feeding

Question 14

How is bolus nutrition administered

Answer 14

a syringe into the stomach by gravity

Question 15

high risks for enteral nutrition

Answer 15

diarrhea, nausea, gas, constipation, dehydration, hyperglycemia, aspiration

Question 16

signs and symptoms of aspiration

Answer 16

cough, shortness of breath, gurgling, raspy voice

Question 17

what do you do if aspiration is suspected

Answer 17

stop feeding, make sure bed is elevated, turn on right side, notify physician, check placement

Question 18

why would you do a gastric residual check

Answer 18

to make sure the patient is absorbing liquid

Question 19

how much residual is concerning

Answer 19

500 mL or more

Question 20

before proceeding a feed what should you assess

Answer 20

GI system- bowel sounds

Question 21

step one of checking placement

Answer 21

verify tube placement

Question 22

what temperature is the nutrition bag

Answer 22

room temperature

Question 23

step 2 of checking placement

Answer 23

aspirate to assess tube patency

Question 24

step 3 of checking placement

Answer 24

measure contents and return

Question 25

step 4 of checking placement

Answer 25

flush with 30 mL sterile water

Question 26

step 5 of checking placement

Answer 26

document

Question 27

how do you check exact tube placement

Answer 27

x-ray

Question 28

nursing interventions/care

Answer 28

monitor, I&O, daily weight, oral care, accu-checks

Question 29

always assess _______

Answer 29

tubes