Module 10 - GI and Nutrition Flashcards
What is the correct order of actions for a client starting enteral nutrition with a feeding tube?
- obtain CXR
- flush tube to verify patency
- assess residuals
- insert feeding tube
- initiate tube feeding
4, 1, 2, 5, 3
A client is being ventilated and has been started on enteral feedings with a nasogastric small-bore feeding tube. What is the primary reason the nurse must frequently assess tube placement?
To prevent aspiration of the feedings
To maintain the patency of the feeding tube
To monitor for skin breakdown on the nose
To assess for paralytic ileus
To prevent aspiration of the feedings
A nurse is caring for a client on intravenous lipid therapy. Which intervention is critical for the nurse to perform?
Maintain elevation of the head of the bed.
Change the tubing every 24 hours.
Assess glucose levels every 6 hours.
Hold lipids when administering antibiotics through the same line.
Change the tubing every 24 hours.
When caring for a client who has malnutrition, the nurse knows that malnutrition contributes to infection risk in what way?
Hampering normal gastrointestinal motility
Impairing immune function
Increasing drug interactions
Increasing blood glucose
Impairing Immune function
A nurse is caring for a client with total parenteral nutrition. Which statements about total parenteral nutrition are correct (select all that apply)?
Total parenteral nutrition with added lipids provides adequate levels of protein, carbohydrates, and fats
Fingerstick glucose levels are assessed every 6 hours and prn
Total parenteral nutrition is administered through a feeding tube and pump
Assessing fluid volume status and preventing infection are important nursing considerations
A, B, D
A client is receiving enteral feedings and reports fullness and abdominal discomfort to the nurse. What is a priority action by the nurse?
Assess the patient’s gastric residual
Continue the tube feeding
Decrease the tube feeding
Connect the feeding tube to suction
Assess the patient’s gastric residual
Select the physiological reasoning behind enteral therapy as the preferred source of nutritional therapy.
Bacterial translocation increases
Gastroparesis increases
Gut overgrowth increases
Gut mucosa is preserved
Gut mucosa is preserved
A nurse is caring for a client with acute pancreatitis. What are the nursing priorities for the management of acute pancreatitis?
Treating hypoglycemia
Withholding analgesics that could mask abdominal discomfort
Stimulating gastric content motility into the duodenum
Assessing and maintaining electrolyte balance
Assessing and maintaining electrolyte balance
A nurse is caring for a critically ill client with respiratory failure who is being treated with mechanical ventilation. What therapy to the client would the nurse anticipate to prevent stress ulcers?
Cholinergic drugs
Anti-diarrheal drugs
Vagal stimulation
Proton pump inhibitors
PPI
When assessing a client’s bowel sounds, the nurse ______________.
listens to the abdomen after palpation is done
places the client in a relaxed prone position
listens to bowel sounds before palpation
places a pillow over the client’s knees
listens to bowel sounds before palpation
A nurse is caring for a client with alcoholism. The client experienced an upper GI bleed after an episode of forceful retching. What medical condition does the nurse anticipate?
A GI bleed that is not usually associated with alcohol intake
A Mallory-Weiss tear, which is treated with chewable aspirin
A GI bleed that is self-limiting with little actual blood loss
A Mallory-Weiss tear, which is a longitudinal tear in the gastroesophageal mucosa.
A Mallory-Weiss tear, which is a longitudinal tear in the gastroesophageal mucosa.
The nurse is caring for a client who is passing bright red blood rectally. What is the purpose for the nurse to insert a nasogastric tube?
Rule out massive upper GI bleeding
Visually determine the presence of occult bleeding
Obtain samples for guaiac to confirm current bleeding
Detect the presence of melena in the stomach
Rule out massive upper GI bleeding
The nurse is caring for a client with severe pancreatitis who is orally intubated and on mechanical ventilation. The client’s calcium level this morning was 5.5 mg/dL. After the nurse notifies the provider, what is a priority nursing action?
Place the client on seizure precautions
Anticipate that the provider will come and remove the endotracheal tube
Place an oral airway at the bedside
Withhold any further calcium treatments
Place the client on seizure precautions
A nurse is caring for a client who has a peptic ulcer. To treat the ulcer and prevent more ulcers from forming, the nurse should be prepared to administer ______________.
Vagal stimulation
Gastrin
H2-histamine receptor blockers
Vitamin B12
H2 histamine
A client is admitted with the diagnosis of GI bleeding. The client’s heart rate is 140 beats per minute, and the blood pressure is 84/44 mm Hg. The nurse knows that these values may indicate what?
Increased blood flow to the skin lungs, and liver.
Significant amount of blood loss
A need for hourly vital signs
Resolution of hypovolemic shock
Significant amount of blood loss
