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12 Cards in this Set
- Front
- Back
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What is the most desirable way of providing nutrition? (Oral, parenteral, enteral?)
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Oral.
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When is enteral feeding chosen over parenteral feeding?
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When the stomach or intestine is still able to digest nutrients.
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Why is enteral feeding preferred over parenteral nutrition?
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It improves use of nutrients, generally safer, maintains structure and fxn of gut, and is less expensive.
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Which tube is used most frequently for enteral nutrition?
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Small-bore tubes (usually 8Fr to 12 French) inserted through the nose & advanced to the stomach or proximal small intestine.
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How should the initial placement of a feeding tube be verified?
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Via an abd x-ray.
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Name three ways nurses give tube feedings:
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1) bolus amt via gravity w/ large-bore syringe
2) intermittent gravity drip given over 30 mins to 1 hour several times per day using a pouch to hang the feeding 3) continuous drip given per infusion drip over 24 hours |
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What should the nurse always do before administering medication or tube feedings?
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Verify placement of tube.
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How can tubes be misplaced?
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Normal movements, excessive coughing
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What complications can result from a tube migrating to the lung?
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Aspiration, pneumonia, pneumothorax, peritonitis.
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What complications can arise from prolonged intubation?
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Nasal erosion, sinusitis, esophagitis, gastric ulceration, pulmonary aspiration.
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Why is aspiration such a risk in clients c a decreased LoC?
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Impaired cough and gag reflexes.
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Clients with ____ gastric volumes had a ______ aspiration risk.
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higher, greater
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