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Enteral Nutrition
Assessment Things
Gerontologic Considerations
Upper & Lower GI
GI Problems
100
Endoscopically or surgically inserted tube into the jejunum
What is a jejunostomy tube?
100
Ingestion, digestion, absorption.
What are the functions of the GI system?
100
Economic changes or constraints and immobility.
What are factors that limit obtaining meals for the elderly?
100
For this diagnostic test: drink contrast, keep pt NPO 8hrs, then teach stool may be white for more than 2 days.
What is the barium swallow? (or Upper GI)
100
Imbalance nutrition: less than body requirements R/T nausea and vomiting
What is an appropriate nsg dx for a client with N&V?
200
Feeding tube inserted through the nares extending to the stomach.
What is a nasogastric tube?
200
Mouth, pharynx, esophagus, stomach, sm intestine, and large intestines.
What are structures of the GI system?
200
Peridontal disease, loss of teeth, decreased taste ability, and less saliva.
What are factors that decrease appetite for the elderly?
200
This procedure identifies polyps, tumors, and lesions in the colon.
What is a lower GI series?
200
Herniation of a portion of the stomach into the esophagus thru an opening in the diaphragm.
What is a hiatal hernia?
300
Confirmation of tube placement before feeding and medication administration.
What is priority nursing care for a patient with tube feeding?
300
Use of laxative, enemas, last BM - time of day and consistency...
What are elimination pattern assessment components?
300
Slower peristalsis, inactivity, inadequate fluid intake, cognitive or metabolic disorder...
What are factors that increase the risk of constipation for the elderly?
300
Painful swallowing, abd pain, unexplained weight loss...
What are reasons for an upper GI/ barium swallow study?
300
Burning epigastric pain, 1-2 hours after meals.
What is a gastric ulcer?
400
Measurement of undigested nutritional content.
What is residual volume?
400
Tilt the pt head back and depress a tongue with a tongue blade, have the pt say "ah".
What are inspection and assessemnt of pharynx, uvula, and soft palate?
400
Flatulence, abd distention, fecal impaction
What are S&S of changes in the large intestines for the elderly?
400
Barium could be retained, minimal radiation, allergy to barium...
What are complications/ risk associated with GI studies?
400
Pyrosis is the most common manifestion.
What is GERD? (pyrosis is heartburn)
500
Vomiting, dehydration, constipation, and diarrhea.
What are complications of tube feedings?
500
Inspection, ausculation, percussion, palpation...
What is the order of abdomen assessment?
500
C/o indigestion and delayed absorption of fat soluble vitamins.
What are expected changes of the sm intestines for the elderly?
500
Polps, tumors, ulcers, hiatal hernias...
What are reasons to perform an upper GI study?
500
H-pylori is present in 70% of people with this condition.
What is PUD? (peptic ulcer disease)