nutrition

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Questions and Answers

Which of the following is the primary purpose of a nasogastric (NG) tube for enteral feeding?

  • To remove gastric contents
  • To facilitate medication absorption in the intestines
  • To provide oxygen therapy
  • To deliver nutrients directly to the stomach (correct)

A patient receiving enteral nutrition via an NG tube develops diarrhea. What is the most likely cause?

  • Hyperosmolar formula (correct)
  • Aspiration pneumonia
  • Dehydration
  • Tube displacement

Which vitamin is essential for calcium absorption?

  • Vitamin D (correct)
  • Vitamin B12
  • Vitamin A
  • Vitamin K

Which nursing action is most important before administering an intermittent enteral feeding via NG tube?

<p>Measuring gastric residual volume (A)</p> Signup and view all the answers

A patient receiving Total Parenteral Nutrition (TPN) is at risk for which serious complication?

<p>Hyperglycemia (D)</p> Signup and view all the answers

Which patient is at highest risk for aspiration during enteral feeding?

<p>A patient with a history of stroke (C)</p> Signup and view all the answers

Which therapeutic diet is recommended for a patient with heart disease?

<p>Low-cholesterol, low-sodium diet (B)</p> Signup and view all the answers

Which food is highest in fiber?

<p>Apples with skin (A)</p> Signup and view all the answers

A client with dysphagia is at risk for which complication?

<p>Both b and c (B)</p> Signup and view all the answers

Which laboratory value is most important to monitor in a client receiving TPN?

<p>Blood glucose (C)</p> Signup and view all the answers

What is the best position for a patient receiving enteral feedings through an NG tube?

<p>Semi-Fowler's (D)</p> Signup and view all the answers

A patient receiving TPN develops sudden shortness of breath and chest pain. What complication should the nurse suspect?

<p>Pulmonary embolism (A)</p> Signup and view all the answers

Which vitamin deficiency causes pernicious anemia?

<p>Vitamin B12 (D)</p> Signup and view all the answers

How often should a nurse change TPN tubing to reduce infection risk?

<p>Every 24 hours (C)</p> Signup and view all the answers

What is the most serious complication of NG tube insertion?

<p>Aspiration pneumonia (C)</p> Signup and view all the answers

Which therapeutic diet is most appropriate for a patient with kidney disease?

<p>Low-protein, low-sodium diet (A)</p> Signup and view all the answers

A patient with dysphagia should be given which type of food?

<p>Pureed diet (A)</p> Signup and view all the answers

Which of the following is a common sign of TPN-related infection?

<p>Fever and chills (B)</p> Signup and view all the answers

A nurse assesses a patient with enteral feeding and notices abdominal distension. What is the priority intervention?

<p>Decrease the feeding rate (A)</p> Signup and view all the answers

Which of the following foods is best for a patient on a high-fiber diet?

<p>Lentils (C)</p> Signup and view all the answers

Flashcards

Purpose of NG tube for enteral feeding?

To deliver nutrients directly to the stomach using a tube.

Cause of diarrhea in enteral feeding?

Diarrhea from enteral nutrition is often due to a formula that is too concentrated.

Vitamin for calcium absorption?

A fat-soluble vitamin essential for calcium absorption from the intestines.

Measuring gastric residual volume

Checking how much of the previous feeding remains in the stomach.

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Risk with Total Parenteral Nutrition (TPN)

High blood sugar levels that can occur when the body doesn't process glucose effectively.

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Dysphagia

Difficulty swallowing, creating risk of of liquids or solids entering the lungs.

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TPN related infection sign

Includes fever, chills, and can indicate a catheter-related infection.

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Therapeutic diet for heart disease

Diet low in cholesterol and sodium, beneficial for managing heart conditions.

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Aspiration Pneumonia

The process of food or liquid entering the lungs, leading to pneumonia.

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Abdominal distension priority intervention during enteral feeding

Decrease the feeding rate to allow the patient to adjust.

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Study Notes

Nasogastric (NG) Tube for Enteral Feeding

  • The primary purpose of a nasogastric (NG) tube for enteral feeding is to deliver nutrients directly to the stomach.

Enteral Nutrition and Diarrhea

  • Diarrhea in a patient receiving enteral nutrition via an NG tube is most likely caused by a hyperosmolar formula.

Vitamin D and Calcium Absorption

  • Vitamin D is essential for calcium absorption.

Intermittent Enteral Feeding via NG Tube

  • Measuring gastric residual volume is the most important nursing action before administering an intermittent enteral feeding via NG tube.

Total Parenteral Nutrition (TPN) Risks

  • A patient receiving Total Parenteral Nutrition (TPN) is at risk for hyperglycemia.

Aspiration Risk During Enteral Feeding

  • A patient with a history of stroke is at the highest risk for aspiration during enteral feeding.

Therapeutic Diet for Heart Disease

  • A low-cholesterol, low-sodium diet is recommended for a patient with heart disease.

High-Fiber Foods

  • Apples with skin are highest in fiber.

Complications of Dysphagia

  • A client with dysphagia is at risk for aspiration pneumonia and dehydration.

Monitoring TPN

  • Blood glucose is the most important laboratory value to monitor in a client receiving TPN.

Enteral Feeding Position

  • Semi-Fowler’s position is the best position for a patient receiving enteral feedings through an NG tube.

TPN Complications

  • Pulmonary embolism should be suspected in a patient receiving TPN who develops sudden shortness of breath and chest pain.

Vitamin B12 Deficiency

  • Vitamin B12 deficiency causes pernicious anemia.

Preventing Infection During TPN

  • TPN tubing should be changed every 24 hours to reduce infection risk.

NG Tube Insertion Complications

  • Aspiration pneumonia is the most serious complication of NG tube insertion.

Therapeutic Diet for Kidney Disease

  • A low-protein, low-sodium diet is most appropriate for a patient with kidney disease.

Diet for Dysphagia

  • A patient with dysphagia should be given a pureed diet.
  • Fever and chills are a common sign of TPN-related infection.

Abdominal Distension During Enteral Feeding

  • Decrease the feeding rate when a nurse assesses a patient with enteral feeding and notices abdominal distension.

High-Fiber Diet Foods

  • Lentils are the best choice for a patient on a high-fiber diet.

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