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Feeding clients with dysphagia
NG tubes
Asistance
Gastromy, Jejunostomy& Small-Bore Nasointestinal
TPN (Total Parenteral Nutrition)
100
reason for adding thickener to liquids and foods
What is easier for a client with swallowing difficulty to swallow
100
This is appropriate seating position for NG tube feedings.
What is Fowler's or slightly elevated lateral position for at least 30 minutes?
100
Voice changes and gargling noises are evidence of this.
What is Aspiration?
100
Aspiration, hyperglycemia and abdominal distention are all considered these.
What is Complications of enteral feedings?
100
Adequate calories and essential fatty acids are improved when a patient can no longer do this.
What is Ingest orally?
200
While feeding a client with dysphagia why must there be no distractions
What is swallowing requires their concentration
200
To prevent dehydration one would give this.
What is Supplemental water?
200
This rushes food down down to quickly, so should be encouraged last.
What is Fluids?
200
You would never use this to flush a feeding tube.
What is Tap water?
200
You would NEVER want to do this with an infusion.
What is Interrupt or discontinue abruptly?
300
Why do we encourage the client to make an exaggerated sucking motion with their chin slightly tucked at the beginning of each swallow?
What is decreases the risk of aspiration
300
To ensure clients comfort and safety, one would do this.
What is Secure tubing to clients gown to prevent client from pulling on the tubing.
300
To ensure client is swallowing every mouthful, NEVER do this.
What is Rushing/force feeding?
300
Flushing a Small-Bore continuous feeding tube every 4 hours prevents this.
What is Tube clogging?
300
You would want to check this to ensure proper placement of central line catheter.
What is the X-Ray?
400
The number one reason for assisting with oral care after each feeding
What is reduce the risk of colonization with pathogens and the risk of aspiration pneumonia
400
This is purpose of assessing the residual feeding contents.
What is Evaluation of absorption of prior feeding?
400
Gravity assists with type of movement to the stomach, when when seated properly.
What is Bolus Movement.
400
Right before all formula has run through and the syringe is empty you would do this.
What is Add 30 mL of sterile water?
400
To determine the precise replacement for fluids, you would do this.
What is Measure the daily input, output and calorie intakes?
500
Reason for placing the bed tray over the bed and a towel under the plate
What is to stabilize the plate while feeding
500
When an open system is being used, cleaning the top of container with alcohol minimizes this.
What is Contaminates entering the feeding syringe or feeding bag?
500
If a client in unable to to sit, this position is the most appropriate.
What is Lateral position?
500
You would note the mark on the feeding tube to determine this has occurred.
What is Migration?
500
A weight gain of more than 0.5 kg per day indicates this, and should be reported immediately.
What is Fluid excess?