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Enteral Tube Feedings hc

Terms in this set (10)

To prevent a common complication of continuous enteral tube feedings, a nurse should
limit the time the formula hangs to 4 hours
(Rationale: Formula that hangs longer than 4 to 8 hr is at risk for bacterial contamination, typically manifested by the patient as diarrhea.(
A nurse inserting a nasogastric tube asks the pt to flex her head toward her check after the tube passes through the nasopharynx. The action facilitates proper insertion of the tube by
closing off the glottis
(Rationale: This action prohibits the tube from entering the trachea.)
To prevent aspiration during the administration of an enteral tube feeding, a nurse should
place the patient in Fowler's position (or elevate the bed at 30 degrees)
Nasogastric tube feedings are an appropriate choice for a patient who
is postoperative following laryngectomy. (immediately following removal of the larynx, patients typically receive IV fluids or parenteral nutrition until the gastrointestinal tract recovers from anesthesia. Then, a nasogastric tube is inserted and left in place for about 7 to 10 days to provide enteral feedings until swallowing is safe and adequate.)
A patient with a gastric ileus postoperatively requires nutritional support for approximately 2 weeks. Which of the following types of feeding tubes is appropriate for this patient?
Nasointestinal tube (A lack of motility in the stomach (gastric ileus) would prevent the digestion of enteral formula placed in the stomach.)
To determine how much of the length of a nasoenteric tube to insert, a nurse should measure the distance from the tip of the patient's nose to the earlobe and from the earlobe to the
xiphoid process plus 20-30 cm more. (Measure from the tip of the nose to the earlobe to the xiphoid process approximates the distance from the nose to the stomach for 98% of patients. For duodenal or jejunal placement, an additional 20-30 cm is required.)
Which of the following formulas is appropriate to administer to a patient who has a dysfunctional gastrointestinal tract?
Elemental (elemental formulas contain predigested nutrients that are easy for a partially functional gastrointestinal tract to absorb.)
An older adult patient in a long-term care facility is receiving intermittent enteral feedings in his room. His affect is flat, and the nurse suspects that he is feeling isolated. Which of the following interventions is appropriate for this patient?
Encourage him to go to the dining room at meal times to talk with other patients.
The most reliable method for verifying initial placement of a small-bore feeding tube is by
obtaining an abdominal x-ray
A nurse is providing teaching to a patient who is receiving intermittent nasogastric feedings. Which of the following should the nurse instruct the patient to report immediately?
Persistent coughing (This could indicate that the distal end of the nasogastric tube has moved into the respiratory tract. Immediate assessment is needed, because the patient might be at risk for aspiration.)
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