Enteral & Parenteral Feeding

Question 1

Alternative feeding method to ensure adequate nutrition through the gastrointestinal system method. Also known as total enteral nutrition. (Via GI tract)

Answer 1

Enteral Feeding

Question 2

achieved by means of nasogastric or nasointestinal (nasoenteric) tubes, gastronomy or jejunostomy tubes

Answer 2

Enteral Access

Question 3

Tube inserted through one of the nostrils, down the nasopharynx, and into the alimentary tract. It is used for feeding clients who have adequate gastric emptying and who require short-term feedings

Answer 3

Nasogastric tube

Question 4

A longer tube than the nasogastric tube (at least 40 inches for an adult) is inserted through one nostril down into the upper small intestines.

Answer 4

Nasoenteric/nasointestinal tube

Question 5

It is the administration of 300 to 500 mL of enteral formula several times per day.

Answer 5

Intermittent feedings

Question 6

It is is generally administered over a 24-hour period using an infusion pump that guarantees
a constant flow rate.

Answer 6

Continuous feedings

Question 7

It is the continuous feeding that is administered in less than 24 hours

Answer 7

Cyclic feedings

Question 8

True or false

During enteral feeding, the bag and tubing must be replaced every 4 hours

Answer 8

False - 24 hours

Question 9

True or false:

During the insertion of nasogastric tube, the client must be positioned in a semi-fowler’s position

Answer 9

False - high fowler’s position

Question 10

These are used for long term nutritional support, generally more than 6 to 8 weeks

Answer 10

Gastrostomy and jejunostomy

Question 11

True or false:

During gastrostomy and jejunostomy, tubes are placed surgically or by laparoscopy through the abdominal wall into the stomach or into the jejunum

Answer 11

True

Question 12

True or False:

After feeding, ask the client to remain in the sitting position or slightly elevated right lateral position for at least 30 minutes. This minimizes the risk of aspiration.

Answer 12

True

Question 13

Also referred to as Total Parenteral Nutrition or Intravenous Hyperalimentation

Answer 13

Parenteral Nutrition

Question 14

True or False:

Parenteral nutrition is done when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its’ absorptive capacity is impaired

Answer 14

True

Question 15

True or False:

Infusions are started gradually to prevent hyperglycemia

Answer 15

True

Question 16

True or False:

When TPN therapy is to be discontinued, the TPN infusion is stopped to prevent hyperinsulinemia and rebound hypoglycemia

Answer 16

False - TPN infusion rates are to be decreased slowly