Diets
What liquids are included in a clear liquid diet?
Popsicles
Jello, apple juice, broth, tea
1lb equals how many KG?
2.2kg
abdomen is divide into how many quadrants to assess bowel sounds
4
A disorder of nutrition related to an unbalanced diet, malabsorption, or a lack of assimilation of nutrients.
MARASMUS
Most common foodborne pathogen contamination
Shigella, Salmonella & Campylobacter ( Chicken)
fruits and vegetables should be washed, ground beef should be thoroughly cooked no ink at all,
While the nurse is explaining the procedure for inserting a tube for enteral feedings, the patient interrupts and asks why there is a need for this tube. The nurse’s best response is:
Tell me what your primary care provider told you about this procedure.”
In assessing the patient’s understanding, the nurse should assess the level of the patient’s understanding and knowledge about the procedure.
How many ml in 1 oz?
30ml
What is dysphagia?
difficulty swallowing
This vitamin deficiency causes pernicious anemia, anorexia, degeneratopn of spinal cord,& various psychiatric disorders
Vitamin B12 ( Cobalamin)
What mineral food is high in , liver, dark green leafy vegetables, almonds, & eggs
IRON
The nurse caring for a patient receiving enteral feedings would assess for tolerance of the feeding by monitoring:
Abdominal distention
Taking care of a pt. with bulimia nervosa, the nurse should be aware that she
Puts fingers down throat to induce vomiting
A nurse is instructing a family member who will be caring for a patient receiving enteral feedings after discharge to home. The nurse would emphasize:
Taping the gastrostomy tube so that it does not hang lower than the stomach.
The tube should be taped so that it is higher than the entry point into the body.
The nurse caring for the patient receiving total parenteral nutrition (TPN) should monitor the flow rate every:
4 hours
The nurse inserting an NG tube through the nostril into the back of the throat of a patient would instruct the patient to:
The patient should be instructed to tip the head forward and begin to swallow to help advance the tube through the esophagus.
The nurse explains that adequate vitamin D can be acquired by:
It appears that 9 minutes of sunshine exposure may be sufficient to produce sufficient vitamin D for people with lighter skin, whereas darker skinned people may require 25 minutes (Cancer Research UK, 2019).
The nurse who is preparing to give a feeding per a nasogastric (NG) tube tests the placement of the tube most safely by
checking for air in stomach and aspirating stomach contents
A patient recently started on enteral tube feedings starts complaining of nausea and having diarrhea. The best nursing action is to:
stop feedings call MD
Nausea, constipation, and diarrhea are concerns following institution of tube feedings.
This vitamin deficiency may cause hemorrhage
Vitamin K
A patient has a new order to have an NG tube removed. The nurse should initially:
Explaining the procedure to the patient before starting helps in gaining the patient’s confidence.
What is Ensure?
a food nutrient supplement
The nurse is caring for a patient who has total parenteral nutrition (TPN) running finds that the infusion is behind by 200 mL. The nurse should:
document the discrepancy and report to the charge nurse.
The rate of a TPN is never increased because of the danger of causing hyperglycemia or circulatory overload. The discrepancy is to be documented and reported to the charge nurse or physician.
When caring for a patient receiving total parenteral nutrition, the nurse knows that it is essential to
monitoring glucose q 6 hrs because TPN has large amt glucose
This vitamin can cause night blindness, rough dry skin, and eye disease
Vitamin A ( retinol)
Stopping the infusion and checking for residual volume, the nurse aspirates 500 mL of gastric contents. The nurse should next:
replace the aspirate and delay feeding for 1 to 2 hours.
Nursing has checked residual volume during tube feeding, holding the feeding for a period of time if the residual was over a certain volume. Recommendations for holding a feeding have varied among facilities, ranging from 150 ml to 500 ml. Holding a feeding for a relatively small residual volume (e.g., 150 ml to 250 ml) can perhaps deprive an undernourished person of valuable calories. In fact, the amount of upper gastric secretion can be as much as 200 ml per hour, even without feeding (Guo, 2015). Most agencies are now using 500 ml as the determining volume if a feeding is to be held.
An obese clinic patient who is in the latter part of the first trimester of a pregnancy asks how much weight she should gain. The nurse’s best response is to say that the total weight gain should be no more than:
20 lbs
A patient is scheduled to receive an intermittent tube feeding. This feeding should be allowed to flow in over how many minutes?
10min
What does gastronomy mean?
Opening into stomache
Folic Acid
When the patient has just finished receiving a tube feeding, the nurse leaves the head of the patient’s bed elevated for 30 to 60 minutes after feeding in order to:
The head of the bed should be left elevated at a 30- to 90-degree angle for 30 to 60 minutes after the feeding to help reduce the risk of aspiration.