Chpt 28: Nutritional Support and IV therapy

Question 1

enternal nutrition

Answer 1

giving nutrients into the GI tract through a feeding tube

Question 2

gastronomy tube

Answer 2

tube inserted through a surgically created opening in the stomach

Question 3

regurgitation

Answer 3

backward flow of stomach contents into the mouth

Question 4

jejunostomy tube

Answer 4

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

Question 5

gavage

Answer 5

process of giving a tube feeding is called

Question 6

flow rate

Answer 6

is the number of drops/minute

Question 7

aspiration

Answer 7

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

Question 8

parenteral nutrition

Answer 8

giving nutrients through a catheter inserted into a vein

Question 9

iv therapy

Answer 9

giving fluids through a needle or catheter inserted into a vein

Question 10

ng tube

Answer 10

feeding tube inserted through the nose into the stomach

Question 11

PEG tube

Answer 11

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

Question 12

naso-enteral tube

Answer 12

a feeding tube inserted through the nose into the small bowel

Question 13

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

Answer 13

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

Question 14

what tube is used for short-term nutritional support

Answer 14

naso-gastric tubes

Question 15

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

Answer 15

8 hours

Question 16

if a person is receiving intermitternt feedings, the nurse will

Answer 16

give the feeding 4 or more times each day

Question 17

a major risk w/ tube feedings is

Answer 17

aspiration

Question 18

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

Answer 18

s/s of respiratory distress

Question 19

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

Answer 19

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

Question 20

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

Answer 20

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

Question 21

whoch of these are never done by nursing assistants

Answer 21

insert a feeding tube or check it for placement

Question 22

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

Answer 22

providing frequent oral hygiene and other basic needs

Question 23

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

Answer 23

tel the nruse at once if no fluid is dripping

Question 24

you may change a dressing on a peripheral IV if

Answer 24

your state agency allows nursing assitants to perfofrm the procedure

Question 25

gtt stands for

Answer 25

drops

Question 26

gtt/min

Answer 26

drops per min

Question 27

TPN

Answer 27

total parental nutrition

Question 28

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

Answer 28

6 weeks

Question 29

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

Answer 29

6 weeks

Question 30

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

Answer 30

cramping

Question 31

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

Answer 31

in a basin w/ warm water

Question 32

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

Answer 32

ASPIRATION

Question 33

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

Answer 33

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

Question 34

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

Answer 34

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

Question 35

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

Answer 35

irritate an cause pressure on the nose

Question 36

if youre delegated to give a tube feeding the nurse should

Answer 36

check tube placement and residual stomach contents

Question 37

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

Answer 37

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

Question 38

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

Answer 38

fowlers or semi-fowlers

Question 39

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

Answer 39

30-60mL to water

Question 40

parental nutrition solution is given intravenously contains...

Answer 40

water, proteins, carbs, vitamins, minerals

Question 41

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

Answer 41

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