Fundamentals Of Nursing Part 3

Front 1

Name some of the patients that may not be able to tolerate oral fluid and food intake?

Back 1

Malnutrition patients

Cardiovascular/nervous system disorder patients

Dementia

Front 2

What are the most common signs that a person has dysphasia?

Back 2

Coughing when drinking

Drooling

Having food remain in their mouth how can you modify li

Front 3

How can you modify liquid to prevent aspiration?

Back 3

Thicken it

Front 4

Name the four different texture levels that solids can be ordered in?

Back 4

Purée

Mechanical

Advanced

Regular

Front 5

Give an example of solid food that is puréed?

Back 5

Pudding

Mash potato

Front 6

Give an example of mechanical altered solid food?

Back 6

Moist and minced to 1/4 inch maximum

Front 7

Name the difference enteral tubes?

Back 7

Nasogastric

Gastrostomy or percutaneous endoscopic gastrostomy (PEG) tube

Jejunostomy or duodenal tubes

Front 8

Another name for gastrostomy tube?

Back 8

Percutaneous endoscopic gastrostomy (PEG) tube.

Front 9

Another name for gastrostomy tube?

Back 9

Percutaneous endoscopic gastrostomy (PEG) tube.

Front 10

Another name for jejunostomy tube?

Back 10

Duodenal tube

Front 11

Where is the nasogastric tube placed?

Back 11

Through the nose and the esophagus into the stomach

Front 12

Is the nasogastric tube a temporary or permanent measure to provide nutritional support?

Back 12

Temporary

Front 13

What is the use of the nasogastric tube?

Back 13

Stomach decompression

Gastric lavage

Medication administration

Obtain laboratory specimens

Front 14

What is the use of the nasogastric tube?

Back 14

Stomach decompression

Gastric lavage

Medication administration

Obtain laboratory specimens

Front 15

What is stomach decompression?

Back 15

Removing stomach contents before or after surgery

Front 16

What is gastric lavage?

Back 16

Removal/wash/irrigation of blood or other toxic agents from the body using a large bore gastric tube

Front 17

What enteral nutrition tube is used for extended feeding? And what is the size of the tube?

Back 17

Small bore feeding tube

Size: 8-10 French

Front 18

Name some of the nursing care of patients done with a NG tube?

Back 18

Insertion

Irrigation

Administration of tube feeding

Checks for placement

Checks for residual volume

Removal of the tube

Front 19

What patients are difficult to insert a tube?

Back 19

Unconscious and uncooperative patients

Front 20

What is used to verify the placement of the tube?

Back 20

X-ray

Front 21

How many minutes after using a tube to feeding a patient must you keep the head of the bed elevated?

Back 21

30-60 minutes

Front 22

What should you do before you begin enteral feeding on a patient?

Back 22

Check tube placement

Check residual volume

Front 23

What should you do with the residual after checking the patients stomach pH?

Back 23

Put it back in the stomach

Front 24

How many mL of liquid is used to irrigate the NG tube and the solution used?

Back 24

30 to 60 mL’s

Solution: sterile water

Front 25

After assessing the patient understanding of the nasogastric procedure what is the next step?

Back 25

Check airflow in each nostril for patency (used the most patent nostril

Front 26

What position and height should the bed be in order to insert a NG tube?

Back 26

30-90 degrees

Bed should be raised to the working height of the nurse

Front 27

How do you measure the distance the tube is to be inserted?

Back 27

Tip of the nose to the tip of the ear to the Xiphoid process

Nose Ear Xiphoid (NEX) method

Front 28

What do you do if the tube is too limp or too stiff?

Back 28

Stiff: place in a plastic basin of warm water

Limp: place in a plastic basin of ice

Front 29

What do you do if the tube is too limp or too stiff?

Back 29

Stiff: place in a plastic basin of warm water

Limp: place in a plastic basin of ice

Front 30

What position should the patients head be placed when inserting the tube?

Back 30

Hyperextended back

Front 31

What should you do when the NG tube reaches the back of the throat?

Back 31

Have the patient bring their chin towards their chest and take sips of water through a straw

Front 32

What should you do when the NG tube reaches the back of the throat?

Back 32

Have the patient bring their chin towards their chest and take sips of water through a straw

Front 33

Why is the patient encouraged to take sips of water to insert the NG tube?

Back 33

Whilst drinking the respiratory tract is closed and the esophagus is opened, therefore the nurse would know that she is inserting the tube into the right passageway

Front 34

Name the methods used to determine the placement of nasogastric tubes?

Back 34

X-ray

pH testing

Front 35

If you try to suction the for aspirate/gastric juice and there is none, what should you do next?

Back 35

Gently instill 10 to 20 mL of air and then reattempt aspiration

Front 36

On the pH scale what is the value of gastric juice?

Back 36

1-4

Front 37

On the pH scale what is the value of gastric juice?

Back 37

1-4

Front 38

On the pH scale what value is intestinal and respiratory fluids?

Back 38

Above 6

Front 39

What color is gastric aspirates?

Back 39

Grassy green or colorless

Front 40

What color is intestinal aspirates?

Back 40

Yellow (bile)

Front 41

What color is respiratory aspirates?

Back 41

Tan or off-white and mucoid

Front 42

What enteral tubes are used for long-term nutritional support and for people who cannot take oral feeding?

Back 42

Percutaneous ENDOSCOPIC JEJUNOSTOMY (PEJ)

Percutaneous Endoscopic Gastrostomy (PEG)

Front 43

What procedure is used to place the PEG and PEJ tubes in the patient?

Back 43

Endoscopy

Front 44

How often should the nurse check the PEG or PEJ tube?

Back 44

Every shift and before feeding or administering medication

Front 45

How do you measure the PEG or PEJ tubes?

Back 45

From the skin to the end of the placement adapter