a patient is unable to swallow d/t advanced stages of dementia. What is the next best method for providing fluids and nutrition?
What is Enternal Nutrition
100
How is a NG tube secured in place?
What is applying tape around the tube and securing it to the nose and or cheek
100
What are common complications/risks associated with NG tubes?
What is aspiration, pressure sores, can cause irritation and mucous build up around the nostrils.
100
What 3 methods may be used to administer enternal nutrition
What is Syringe, feeding bag, feeding pump
100
Dark urine with decreased urine output and increased dry mouth are s/s of what?
What is Dehydration
200
Describe how an NG tube is used to provide nourishment?
What is Food is placed directly into the stomach through the nasogastric tube
200
To prevent aspiration the NA should position the patient receiving an enternal feeding in what position?
What is Fowler's or semi-fowler's position during and for a short time after a feeding.
200
How long is a bolus feeding usually delivered over?
What is less than 30 minutes
200
What should you always PRIME the tubing from a feeding bag prior to administering the formula?
What is to reduce the amount of air entering into the stomach and intestines.
300
What actions should the NA take to prevent aspiration when removing a NG tube?
What is Place patient in Fowler's position and ask him to hold his breath as you pull it out.
300
How often should you change feeding bags, feeding bottles, and all tubing?
What is every 24 hours
300
Intermittent enternal feedings can be administered using a syringe or feeding bag. How long is it administered over?
What is 30-60 minutes
300
How often should you provide oral care to pt's on enternal nutrition who are NPO?
What is at least every 2 hours
400
Normal Blood Glucose level ranges
What is 70-120 mg/dl
400
When are NG placed over g-tubes or j-tubes for enternal nutrition?
What is For short term needs (a few days or weeks)
400
What 4 complications are associated with enternal nutrition?
What is Aspiration, HAI's, dehydration, dumping syndrome
400
What is cyclic feeding?
What is small amount of formula administered constantly for 8-12 hours.
400
Describe TPN
What is nourishment in its smallest form delivered directly into the bloodstream
500
What infection control precautions should you comply with when checking blood glucose levels
What is Standard precautions
500
You find a pt receiving enternal nutrition through a NG tube lying in a lateral position. You notice the the SPO2 reading is 85% and the pt has distinct cyanosis around the mouth with notable dyspnea. What should you do?
What is immediately find the nurse and report all observations accurately
500
Enternal formulas are available in what 3 forms
What is Cans, packets, and bottles
500
What feeding schedule has the least complications?
What is Cyclic feedings.
500
NA's responsibilities for a patient receiving TPN through a central line?
What is Checking the dressing over the central line and monitoring blood glucose levels .