Chapter 56 -1
The most reliable indicator of the presence of intestinal peristalsis is ________.
Passing flatus or stool.
This is commonly the first symptoms of CRC _________.
Change in bowel pattern.
The nurse is checking placement of an NG tube that has been in place several days, this is an acceptable method.
PH , trypsin or pepsin testing, or capnography.
The nurse knows to maintain the head of bed at what height to best prevent aspiration.
30 degrees
Tube feedings systems should be change out after this many hours
24
There are the four classifications of IBS
IBS-C
IBS-D
IBS-A
IBS-M
your patient has a sigmoid colostomy, you expect to find a stoma in which abdominal quadrant?
LLQ
0. Prescence of CO2 indicates the tube is in or above the trachea.
This is a type of malabsorption procedure for weight loss. Patients on average maintain 60%-70% of weight loss after this procedure.
Roux-en-Y gastric bypass (gastric bypass)
This lab test is used as a frame of reference for nutrition for the past 3 weeks or so.
albumin
These are three items to avoid to prevent IBS exacerbation______,__________ and _________
exacerbate IBS- caffeine, alchohol, eggs, wheat products, beverages with sorbitol or fructose, and dairy.
Your patient has a colostomy of the ascending colon, what consistency do you expect the stool to be?
liquid
Phenteramine-topiramate (Qsymia) is a simpathomimmetic anticulvulsant combo that at therapeutic levels decreases appetite and increases satiety. A very concerning side effect is______
suicidal ideation
This lab value is more sensitive regarding current nutrition status due to its short half life of 2 days.
Thyroxine binding pre-albumin
diarrhea/dehydration
normal exctracellual fluid 270-300 mOsm
enteral feedings average 300-600 mOsm
Abdominal distension, nausea, vomiting, tachycardia, pain and fever are all possible symptoms of this classification of hernia_________.
strangulated- this is a medial emergency
On exam your patient's stoma is dark red, firm, and dry . Which if, any of these findings alarming to the nurse.
Dark red, purple or black stomas, dry, firm or flaccid stomas, Unusually bleeding stomas are all need to be immediately reported.
________is a medication for weight loss in which reduces caloric intake by only partially digesting fat, a common side effect of this process is_________.
Orlistat, loose stools.
If a feeding tube is clogged and the clog cannot be dislodged by flushing with water, the next course of action is_________.
attempt flushing with a carbonated beverage.
chart 60-5 pg 1243
Anastomic leaks are the number one cause of complications and death following bariatric surgery. Possible syptoms are (name 3)
shoulder pain, back pain, abdominal pain, unexplained tachycardia, restlessness, oliguria
Chronic diarrhea is the classic symptom of this diagnosis_________ one type, bile salt deficiency can lead to this description of stool_________.
Malabsorption syndrome, steatorrhea
These are 3 foods/contributors to increasing foul odors from a colostomy.
Broccoli, cabbage, beans. onions, beer, smoking, missing meals.
The nurse is caring for an emaciated patient who just had an Nasoduodenal tube placed and is 11 hours into his cyclic feeding. The patient is breathing shallowly and is acting confused. The nurse is concerned about________.
Refeeding syndrome
This is characterized by electrolyte shifts in a patient who was "starving" , clinical manifestations are, shallow breathing, seizures, weakness, increased bleeding risk and arrythmias. (pg.1242)
Liraglutide (victoza) slows gastric emptying and increases satiety. This side effect is associate with slow gastric emptying________
nausea/vomiting due to distension and bloating
The two most frequent electrolyte imbalances associate with total enteral nutrition are hyperkalemia and hyponatremia. 2 s/s of each are_______,__________,__________,_________
hyperkalemia- palpitations, arrhythmias, paresthesia, diarrhea
hyponatremia- confusion, altered mentation, seizures, diminished DTR's, muscle weakness, diarrhea, abdominal cramping, s/s of hypovolemia