Religious Competency
T/F A person's religious beliefs may affect their post-mortem care.
True!
After providing postmortem care, who become's the nurse's primary focus?
The patient's family
When feeding a patient through an NG tube, what is the lowest number of degrees the bed should be placed at?
30 degrees
T/F Continuous enteral feedings should be given 24 hours a day
F - a continuous feeding should be limited to 18 hours a day.
This religion includes the belief that all life is suffering, and the source of suffering is desire
Zen Buddhism
Who is palliative care appropriate for?
Any client who has a chronic or curable illness, regardless of the stage of the disease process. Palliative care focuses on the relief of physical manifestations.
Name 2 ways to verify NG placement (the gold standard, and one secondary way).
- X-ray (Gold standard)
- pH testing
Capnoetry
Name 2-3 Interventions if a client aspirates the formula
- stop the feeding
- place client on side
- suction the airway
- monitor vital signs
- notify the provider
This religion believes you should take the best care possible of your body while on earth, and do everything such as eating and drinking in moderation
Islam
Name 2-3 nursing interventions to prepare a body for the family to view
- Provide privacy
- Clean the body and change linens
- Close the eyes
- Place head under pillow
- Brush the patient's hair
- Place dentures
How should the nurse measure for an NG placement?
Nose --> Earlobe --> Xiphoid Process
A patient has a tablet ordered to be given via their NG tube. What steps should the nurse take to give the medication?
- verify it can be crushed
- mix it to a fine powder
- add to water
- rinse tube after administration
This religion believes there are no rules or restrictions that should prevent a health care provider from saving a life
Judaism
Name 2-3 physical signs that a patient is actively dying
- Rattling or gurgling signs
- Irregular / shallow breathing
- Cheyne Stokes
- Changes in HR
- Loss of reflexes
- Cool extremities
- Decreased urine output
Name 2 indications for nasogastric intubation
- Decompression
- Feeding
- Lavage
- Compression
What should gastric drainage look like when aspirated?
- cloudy, light yellow to green, tan or off white
What is Shiva?
A 7 day period of mourning, observed in Judaism
A nurse is preparing a deceased patient's room for the family to come in. Name 2-3 interventions that can be done to create a calm environment for the family.
- remove any excess supplies and equipment, and soiled linens from the room.
- dim the lights
-maintain a quiet environment outside the patient's room
- apply fresh linens
What is an advantage of a G-tube over an NG tube?
- It is more comfortable
- It can remain in place for longer
Name 2 conditions that may require a patient to receive enteral nutrition
- Crohn's Disease
- GI cancer
- Trauma to the GI tract
- Bowel obstruction
- Stricture of esophagus or intestines
- Short Bowel syndrome
- Ulcerative colitis