Fundamentals of Nursing: enternal nutrition and medication Flashcards

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created 3 years ago by nursingschoollife
Perry and potter , 9th edition
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A patient is receiving a continuous enteral feeding by infusion pump. The nurse enters the patient's room and finds they are positioned supine and their respirations are shallow and rapid. Rhonchi is present upon auscultation, and the patient appears to be coughing up sputum that is similar to the color of the formula. What immediate action(s) should the nurse take? (Select all that apply.)

  • Turn off the tube feeding.
  • Elevate the head of the bed and suction the airway.
  • Prepare for chest ray examination

Why is it important to administer the enteral tube feeding formula at room temperature?

Cold formula causes gastric cramping and discomfort.


Which is the most serious complication of enteral tube feeding?

Pulmonary aspiration


Identify signs and symptoms of accidental respiratory displacement of a nasogastric feeding tube. (Select all that apply.)

Signs of respiratory distress such as coughing, choking, decreased pulse oximetry; cyanosis; or change in respiratory patterns


Indications for enteral nutrition include: (Select all that apply.)

Inadequate oral intake

Critical illness/trauma

Cancer of the head and neck


When should placement of a feeding tube be verified? (Select all that apply.)

Before administering formula through the tube.

Before administering medications through the tube.

Before administering water through the tube.

At least once every 4 to 6 hours when continuous feedings are given.


Match the unexpected outcome with the intervention.

1)Gastric residual exceeds 250 mL

2)Patient develops nausea and vomiting.

3)Patient aspirates the tube feeding.

4)Patient develops diarrhea.

5)Patient develops abdominal cramping

1)Hold feeding and recheck in one hour.

2)Withhold tube feeding and notify health care provider. Be sure tubing is patent; aspirate for residual.

3)Turn off tube feeding, suction, notify health care provider and prepare for chest x-ray.

4)Notify health care provider and confer with dietitian to determine need to modify type of formula, concentration, or rate of infusion.

5)Administer feeding at room temperature.


Match the type of feeding that is appropriate for the patient condition.

A) Nasogastric tube feeding

B)Surgically placed gastrostomy tube

C)Parenteral nutrition

A)Patient with burns who will require enteral nutrition for less than 4 weeks

B)Patient with difficulty swallowing who will require enteral nutrition for more than 6 weeks

C)Patient with a severe malabsorption syndrome


Match the following

A)Short-term management of an acute illness

B)High risk of aspiration due to delayed gastric emptying

A) nasogastric tube

B) Jejunostomy tube

C) Gastric tube


Which nursing action is appropriate to prevent a complication of nasogastric (NG) tube feedings?

Keep the head of the patient’s bed elevated to at least 30 degrees.