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Questions and Answers
What is the primary purpose of enteral feedings?
What is the primary purpose of enteral feedings?
Which of the following is NOT an indication for enteral feeding?
Which of the following is NOT an indication for enteral feeding?
Which client presentation would be most indicative of the need for enteral feedings?
Which client presentation would be most indicative of the need for enteral feedings?
What complication can arise from enteral feedings if not managed properly?
What complication can arise from enteral feedings if not managed properly?
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Which of the following conditions would NOT typically require enteral feeding?
Which of the following conditions would NOT typically require enteral feeding?
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What nursing action should be taken if a residual volume of 150 mL is noted during a check?
What nursing action should be taken if a residual volume of 150 mL is noted during a check?
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What is a possible cause of diarrhea in a patient receiving enteral feedings?
What is a possible cause of diarrhea in a patient receiving enteral feedings?
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Which nursing action is essential prior to commencing enteral feedings?
Which nursing action is essential prior to commencing enteral feedings?
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If a patient exhibits signs of abdominal distention and vomiting, what complication might they be experiencing?
If a patient exhibits signs of abdominal distention and vomiting, what complication might they be experiencing?
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What should be done if diarrhea has a very foul odor and persists?
What should be done if diarrhea has a very foul odor and persists?
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What nursing action is important for preventing aspiration pneumonia during enteral feedings?
What nursing action is important for preventing aspiration pneumonia during enteral feedings?
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What is a common consequence of constipation in patients receiving enteral feedings?
What is a common consequence of constipation in patients receiving enteral feedings?
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What should be done if a patient exhibits signs of aspiration during feeding?
What should be done if a patient exhibits signs of aspiration during feeding?
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Which of the following actions is necessary when managing a patient with diarrhea suspected to be caused by Clostridium difficile?
Which of the following actions is necessary when managing a patient with diarrhea suspected to be caused by Clostridium difficile?
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What is a common factor contributing to constipation in enterally fed patients?
What is a common factor contributing to constipation in enterally fed patients?
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What is a critical nursing action to take when refeeding syndrome is suspected?
What is a critical nursing action to take when refeeding syndrome is suspected?
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Which electrolyte imbalance is most commonly associated with refeeding syndrome?
Which electrolyte imbalance is most commonly associated with refeeding syndrome?
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What assessment finding might indicate worsening of refeeding syndrome?
What assessment finding might indicate worsening of refeeding syndrome?
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Why is it important to obtain blood electrolytes when managing a patient with refeeding syndrome?
Why is it important to obtain blood electrolytes when managing a patient with refeeding syndrome?
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What is a potential consequence of refeeding syndrome if not recognized and treated promptly?
What is a potential consequence of refeeding syndrome if not recognized and treated promptly?
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What is the primary purpose of administering total parenteral nutrition (TPN)?
What is the primary purpose of administering total parenteral nutrition (TPN)?
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Which of the following accurately describes the concentration of dextrose in total parenteral nutrition?
Which of the following accurately describes the concentration of dextrose in total parenteral nutrition?
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What is a common risk associated with total parenteral nutrition administration?
What is a common risk associated with total parenteral nutrition administration?
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Which route is typically used for the infusion of total parenteral nutrition?
Which route is typically used for the infusion of total parenteral nutrition?
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How does peripheral parenteral nutrition (PPN) differ from total parenteral nutrition (TPN)?
How does peripheral parenteral nutrition (PPN) differ from total parenteral nutrition (TPN)?
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Which condition is likely to create a hypermetabolic state that may require enteral feeding?
Which condition is likely to create a hypermetabolic state that may require enteral feeding?
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What is a significant indicator that a patient may need enteral feeding?
What is a significant indicator that a patient may need enteral feeding?
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Which of the following diagnoses is associated with chronic malnutrition that may necessitate enteral feeding?
Which of the following diagnoses is associated with chronic malnutrition that may necessitate enteral feeding?
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Which client presentation is most concerning and indicates a high probability for nutritional intervention?
Which client presentation is most concerning and indicates a high probability for nutritional intervention?
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Which of the following conditions can significantly affect the ability to absorb nutrition?
Which of the following conditions can significantly affect the ability to absorb nutrition?
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What is the maximum percentage increase in the TPN flow rate per hour to allow for body adjustment?
What is the maximum percentage increase in the TPN flow rate per hour to allow for body adjustment?
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What procedure should be followed regarding changing the TPN solution bag?
What procedure should be followed regarding changing the TPN solution bag?
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What should be done if there is a need to change the central line dressing?
What should be done if there is a need to change the central line dressing?
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What is a key reason for not using the TPN line for other IV bolus solutions?
What is a key reason for not using the TPN line for other IV bolus solutions?
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Why should TPN not be abruptly stopped?
Why should TPN not be abruptly stopped?
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What is the recommended frequency for checking capillary glucose in clients receiving TPN during the first 24 hours?
What is the recommended frequency for checking capillary glucose in clients receiving TPN during the first 24 hours?
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Which of the following is a potential metabolic complication associated with TPN therapy?
Which of the following is a potential metabolic complication associated with TPN therapy?
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What should be administered at the bedside to minimize the risk of hypoglycemia during TPN therapy?
What should be administered at the bedside to minimize the risk of hypoglycemia during TPN therapy?
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Why should the infusion rate not be increased to catch up if a TPN bag is late?
Why should the infusion rate not be increased to catch up if a TPN bag is late?
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How frequently should fluid needs be monitored in clients receiving TPN to prevent fluid volume excess?
How frequently should fluid needs be monitored in clients receiving TPN to prevent fluid volume excess?
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What is the initial nursing action to take if air embolism is suspected in a client?
What is the initial nursing action to take if air embolism is suspected in a client?
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Which manifestation could indicate a systemic infection in a patient with a central line?
Which manifestation could indicate a systemic infection in a patient with a central line?
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How often should the dressing on a central line be changed according to standard protocol?
How often should the dressing on a central line be changed according to standard protocol?
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What is a critical contraindication for using a TPN line?
What is a critical contraindication for using a TPN line?
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What early sign should a nurse monitor for in a client at risk of air embolism?
What early sign should a nurse monitor for in a client at risk of air embolism?
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What is a significant risk associated with the hyperosmotic nature of TPN solutions?
What is a significant risk associated with the hyperosmotic nature of TPN solutions?
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Why should the infusion rate of TPN not be increased to compensate for a late infusion?
Why should the infusion rate of TPN not be increased to compensate for a late infusion?
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Which nursing action is essential to monitor for fluid and electrolyte imbalances in older adult clients receiving TPN?
Which nursing action is essential to monitor for fluid and electrolyte imbalances in older adult clients receiving TPN?
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What is the appropriate response if respiratory distress is noted in a client receiving TPN?
What is the appropriate response if respiratory distress is noted in a client receiving TPN?
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How should the flow rate of TPN be adjusted during the initial infusion period?
How should the flow rate of TPN be adjusted during the initial infusion period?
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What is the primary complication that paracentesis aims to alleviate?
What is the primary complication that paracentesis aims to alleviate?
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Which of the following is NOT a setting where paracentesis can be performed?
Which of the following is NOT a setting where paracentesis can be performed?
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Which symptom is a key indicator for considering paracentesis in a patient?
Which symptom is a key indicator for considering paracentesis in a patient?
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Which laboratory analysis may be performed on the ascitic fluid obtained from a paracentesis?
Which laboratory analysis may be performed on the ascitic fluid obtained from a paracentesis?
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What is a common cause of abdominal ascites that may lead to a paracentesis procedure?
What is a common cause of abdominal ascites that may lead to a paracentesis procedure?
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What factors should be assessed to determine a client's readiness for a medical procedure?
What factors should be assessed to determine a client's readiness for a medical procedure?
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What is the primary nursing action prior to a procedure that involves urinary concerns?
What is the primary nursing action prior to a procedure that involves urinary concerns?
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Which action is recommended regarding client position before a procedure for comfort?
Which action is recommended regarding client position before a procedure for comfort?
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What is an essential step in client education regarding needle insertion during a procedure?
What is an essential step in client education regarding needle insertion during a procedure?
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Which type of fluids may be administered to a client before or after a paracentesis to restore fluid balance?
Which type of fluids may be administered to a client before or after a paracentesis to restore fluid balance?
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Study Notes
Gastrointestinal Therapeutic Procedures
- Performed for nutritional maintenance and treatment of obstructions, obesity, and related disorders.
- Nurses need knowledge of various procedures like enteral feedings, TPN, paracentesis, decompression, bariatric surgeries, and ostomies.
Enteral Feedings
- Administered to clients with a functioning GI tract who can't swallow or consume enough calories/protein orally.
- May supplement an oral diet or be the sole source of nutrition.
Indications for Enteral Feedings
- Inability to eat due to medical conditions (e.g., head and neck cancers).
- Conditions causing difficulty swallowing or aspiration risk (e.g., stroke, Parkinson's).
- Insufficient oral intake requiring supplementation due to increased metabolic needs (e.g., burns, sepsis).
Client Presentation of Malnutrition linked to Enteral Feedings
- Malnutrition symptoms: decreased prealbumin, transferrin, or total iron-binding capacity.
- Risk of aspiration pneumonia.
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Description
This quiz focuses on key gastrointestinal therapeutic procedures that nurses need to be proficient in for nutritional maintenance and treatment of related disorders. It covers topics such as enteral feedings, indications for usage, and the clinical presentation of malnutrition. Test your knowledge on these essential nursing practices and improve your patient care skills.
