Client Teaching
How should meat be defrosted safely?
In a refrigerator
These are the fat soluble vitamins
What are A D E K?
What is the #1 sign that a patient is not tolerating their tube feed?
Diarrhea
Which of the following does not fit a "full liquid" diet?
A. Iced Tea
B. Pudding
C. Cottage Cheese
D. Ice Cream
C. Cottage Cheese
The normal range for normal BMI
What is 18.5-24.9
What is the correct order of steps to administer NG tube feed?
A. Introduce self and explain procedure to patient
B. Check placement with pH paper
C. Perform hand hygeine
D. Check for stomach residual volume
E. Return any residual volume and administer feed per order as long as residual is less than 100mL
A, C, B, D, E
What is an example of a medication class that may increase appetite?
glucocorticoids/steroids
This is an essential micronutrient that helps with neurologic formation
What is folic acid/Vitamin B/ B9
For intermittent tube feedings, the rate of administration is typically controlled by what measure?
Adjusting the height of the tube feeding. Hanging higher will increase the rate.
Which of the following is not correct regarding administration of parenteral nutrition?
A. Aseptic technique is important because of the risk for blood stream infections
B. This is common in patients who have bowel disorders in which we want nothing per the GI tract
C. TPN must be weaned slowly to prevent hyperglycemia
D. TPN needs to go through high flow central veins since they are so concentrated
C. TPN must be weaned slowly to prevent hyperglycemia
*tapering/weaning prevents hypoglycemia
Deficiency of this vitamin causes a beefy red tongue, also known as Hunter's glossitis.
What is Vitamin B12
How does one determine how far to insert an NG tube in a patient?
Measure from tip of nare, to tip of earlobe, to the xiphoid process and mark with tape
True vegans tend to experience deficits with what nutrient?
B12
*this is typically found in animal proteins only
A nurse calculated a BMI on a patient and got the number 36. How do we interpret this number in terms of the risk for associated diseases?
A. Increased risk
B. High Risk
C. Very High Risk
D. Extremely High Risk
C. Very High Risk
See box 47-2 on pg. 1131
What are the 2 most common reasons a patient may require an NG tube?
2. To establish a means of suctioning stomach contents to assist with decompressing gastric distention, nausea, and vomiting.