48 terms

Chapter 28: Nutritional Support and IV Therapy

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Giving nutrients into the gastro-intestinal tract through a feeding tube is
Enteral nutrition
A ________________ is a tube inserted through a surgically created opening in the stomach.
Gastrostomy tube
_____________ is the backward flow of stomach contents into the mouth
Regurgitation
A _________________ is a feeding tube inserted into a surgically created opening in the jejunum of the small intestine.
Jejunostomy tube
The process of giving a tube feeding is called
Gavage
The _______________ is the number of drops per minute.
Flow rate
_______________ is breathing fluid, food, vomitus, or an object into the lungs.
Aspiration
Giving nutrients through a catheter inserted into a vein is
Parenteral nutrition
_________________ is giving fluids through a needle or catheter inserted into a vein.
Intravenous therapy
A feeding tube inserted through the nose into the stomach is
Naso-gastric tube
A ____________________ is a feeding tube inserted into the stomach through a small incision made through the skin.
Percutaneous endoscopic gastrostomy
A feeding tube inserted through the nose into the small bowel is a
Naso-enteral tube
The doctor may order nutritional support for a person who
- Cannot eat enough to meet his or her nutritional needs
- Has a problem swallowing
- Refuses to eat or drink
Which of these tubes are used for shot-term nutritional support?
Naso-gastric tubes.
Opened formula for a tube feeding can remain at room temperature for
About 8 hours
If a person is receiving intermittent (scheduled) feedings, the nurse will
Give the feeding
A major risk with tube feeding is
Aspiration
If a person is receiving a tube feeding, you should report at once
Signs and symptoms of respiratory distress
You can help to prevent regurgitation when a person is receiving at once
Maintaining Fowler's or semi-Fowler's position after the feeding
When a person is receiving nutrition through a tube, frequent mouth care is needed because
It prevents discomfort from dry mouth, dry lips, and sore throat.
Which of these are never done by nursing assistance?
Insert a feeding tube or check it for placement
When a person is receiving TPN, the nursing assistant would assist by
Providing frequent oral hygiene and other basic needs.
When caring for a person receiving IV therapy, the nursing assistant can
Tell the nurse at once if no fluid is dripping
You may change a dressing on a peripheral IV if
Your state and agency allows nursing assistants to perform the procedure.
GI
Gastro-intestinal
gtt
Drops
gtt/min
Drops per minute
IV
Intravenous
mL
Milliliter
mL/hour
Milliliters per hour
NG
Naso-gastric
NPO
Nothing by mouth
Oz
Ounce
PEG
Percutaneous endoscopic gastrostomy
TPN
Total parenteral nutrition
Naso-gastric and Naso-enteral tubes are in place for short-term nutritional support, usually for less than
6 weeks
Gastrostomy, jejunostomy, and PEG tubes are used for long-term support, usually longer than
6 weeks
Formula is given through a feeding tube at room temperature because cold fluids cause
Cramping
It shows good teamwork when you warm a container of formula by placing it
In a basin filled with warm water
Coughing, sneezing, vomiting, suctioning, and poor positioning can move a tube out of place and are common causes of
Aspiration
What can the nursing assistant do to assist the nurse in preventing regurgitation and aspiration?
- Position the person in Fowler's or semi-Fowler's position before the feeding.
- Maintain Fowler's or semi-Fowler's position after the feeding for as long as the care plan or nurse directs.
- Avoid the left side-lying position.
What comfort measures will help a person with a feeding tube who has a dry mouth?
- Oral hygiene every 2 hours while the person is awake.
- Lubricant for the lips every 2 hours while the person is awake.
- Mouth rinses every 2 hours while the person is awake.
The nose and nostrils are cleaned every 4 to 8 hours because a feeding tube can __________________ and _________________.
- Irritate
- cause pressure on the nose
If you are delegated to give a tube feeding, the nurse should
A. check __________________ and residual ____________________.
B. Tell you what feeling method to use ____________________, ________________, or __________________.
C. Tell you how to potion the person _____________ or ________________.
A. Tube placement; stomach contents
B. Syringe; feeding bag; feeding pump
C. Fowler's or semi-Fowler's
How much flushing solution is used before giving a tube feeding to an adult?
Usually 30 to 60 mL (1 to 2 ounces) of water
Parenteral nutrition solution given intravenously contains
Water, proteins, carbohydrates, vitamins, and minerals
When caring for a person receiving IV therapy, what signs and symptoms of complications may occur at the IV site?
- Bleeding
- Blood backing up into the IV tube
- Puffiness or swelling
- Pale or reddened skin
- Complaints of pain at or above the IV site
- Hot or cold skin near the site
You have a responsibility when a person has an IV. You follow the ethics and laws.
A. When you hear an alarm, ________________
B. If the battery is low, ________________
C. You Do Not adjust ________________ on IV pumps or _______________ on IV tubing.
A. Tell the nurse
B. You may plug in the pump
C. Controls; clamps