A nurse is caring for a client who has a nasogastric tube and is receiving intermittent feedings. Listen to the client's bowel sounds. The primary health care provider has now prescribed that the nasogastric tube be removed. Study with Quizlet and memorize flashcards containing terms like A client with dementia is discharged home with a percutaneous endoscopic gastrostomy (PEG) tube in place. Fluid intake and urine output should relate in which way?, A client with Addison's disease has fluid and electrolyte loss due to inadequate Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is receiving an intermittent feeding via a nasogastric (NG) tube. Which actions should the nurse take to prevent pulmonary aspiration? The nurse is caring for a client with a nasogastric tube. Which of the following actions should the nurse take? A. Nursing Management of Nasogastric Tube Feeding in Adult Patients. 600 mL of formula 3. which of the following interventions should the nurse recommend? - encourage the client to go to the dining room at meal times to talk with other clients - suggest that the client watch television while feedings are being administered - remind the client that they Study with Quizlet and memorize flashcards containing terms like The nurse is to discontinue a nasogastric tube that had been used for decompression. The nurse should place the client in which position to administer the feeding?, The nurse is caring for a client who will be taught to ambulate with a cane. Open the distal end of the tube and connect the syringe. 5 mEq/L (4. Tell the client to keep the head of the bed elevated at least 30°. Add blue food coloring to the enteral formula C. Chloride and bicarbonate C. A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is prescribed to receive 40 mL of fluid replacement every 4 hr for each 100 mL of output. Enough formula to last for 8 hours Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has developed irritation to his feeding tube in the past. the nurse notes increase abdominal distention, lethargy, blood stools, and increasing gastric residuals before feedings. Closing off the glottis. The nurse determines the client may be experiencing pulmonary complications when which sign is noted? respiratory rate of 30 temperature of 97°F pulse 88 blood pressure of 110/72 Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving bolus feedings via a nasogastric (NG) tube. Which of the following formulas should the nurse administer to the client? A. 3. The nurse determines the client may be experiencing pulmonary complications when which sign is noted? respiratory rate of 30 temperature of 97°F pulse 88 blood pressure of 110/72 Study with Quizlet and memorize flashcards containing terms like Which nursing action associated with successful tube feedings follows recommended guidelines?, Upon assessment, the nurse determines the client has a body mass index (BMI) of 45. Which of the following is no longer considered appropriate to use to unclog the tube? A) Digestive enzyme mixed with warm water B) Commercial enzyme product C) Air insufflation D) Cranberry juice, A client receiving tube The nurse plans care, anticipating that the kidneys also are retaining greater amounts of which substances? A. This finding indicates the client is:, A client diagnosed with anemia is prescribed Vitamin B12 injections. disturbance in the sequence of intestinal and hepatic metabolism. The medication is available in 5 mg tablets. Which care principle is correct?, A client newly diagnosed with acute lymphocytic leukemia has a right subclavian central venous catheter in place. Enteral tubes are used as an alternate route for feeding and medication administration, as well as for stomach decompression. It is most important for the nurse to A. Here are the key objectives and charting requirements for monitoring an NG tube: Steps in Monitoring a Nasogastric Tube. Which of the following actions should the nurse take prior to administering the medications? A. keeps the empty feeding bag A client has been receiving intermittent tube feedings for several days at home. Elemental C. Which nursing measures are necessary when caring for The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. The clients output over the last 4 hr was 250 mL. If the tube has a clamp, close it. A nurse is caring for a preterm newborn who has nasogastric tube and who recently began intermittent gavage feedings of formula. A family members receives instructions about how to care for the tube. After checking placement, which action should the nurse take? 1. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a nasogastric tube connected to suction. The health care provider has prescribed an amount of 100 mL/hr. A 26-year-old man experienced severe burns in an industrial accident and has been admitted to the burn unit of a tertiary care hospital. potential risk for aspiration. B. The client has just returned to the unit to begin supplemental tube feedings through a gastrostomy tube. Polymeric D. Which accurately describes an aspect of this procedure?, The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. Proper monitoring of a nasogastric tube is essential to ensure its correct placement and effective function. A nonresponsive client has a nasogastric tube to low intermittent suction due to gastrointestinal bleeding. The recommendations are based on the available research findings and existing evidence-based guidelines. 5 mg of prednisone by mouth daily. , The nurse is reinforcing instructions provided to a client with a continuous passive Study with Quizlet and memorize flashcards containing terms like A nurse providing care to a patient who is receiving nasogastric tube feedings finds that the tube is clogged. Which intervention would be the highest priority to reduce the risk of aspiration for this patient? Omitted A. A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. The nurse who's Mar 25, 2022 · See Figure \(\PageIndex{8}\) [32] for an image of a nurse irrigating an NG tube. Sometimes, healthcare providers or-der withholding of tube feedings at Study with Quizlet and memorize flashcards containing terms like The nurse provides the client with a gravity feeding via a gastrostomy tube. Which of the following should the nurse administer to the client? A. Oct 31, 2022 · Determine the technique of safe nasogastric tube placement. What does the nurse understand is the reason that gastrostomy feedings are preferred to nasogastric (NG) feedings in the comatose patient?, When assessing whether a patient is a candidate for home parenteral nutrition, which of the following would Study with Quizlet and memorize flashcards containing terms like A patient is receiving continuous tube feedings via a small bore feeding tube. Administer a laxative in liquid form through the nasogastric tube. The nurse The patient may cough as the tube passes the pharynx. Mar 14, 2023 · Nurses must follow specific guidelines for inserting, caring for, and removing nasogastric tubes to ensure patient safety and comfort. Flush tubing with 20 mL water after feeding is completed. Document and discard the residual. Increase the rate of the tube feeding. Use all options. Jul 31, 2024 · Study with Quizlet and memorize flashcards containing terms like Tunde, the nurse is inserting a nasogastric tube in a client diagnosed with a small bowel obstruction. The nurse should be most concerned with the potential for:, The nurse is checking placement of a nasogastric tube that has been in place for 2 days. The tube is draining green aspirate. Enteric tubes that will be removed within a short period of time can also be passed through the mouth (orogastric). Percuss the client's abdomen to assess for areas protocol) in patients receiving con - tinuous tube feedings. The nurse notes increased abdominal distention, lethargy, bloody stools, and increasing gastric residuals before feedings. Place the following steps in the correct order. Which action observed by the home health nurse indicates that the family member is effectively managing the client's care? A. What action should the nurse take to verify the initial placement of the tube?, A nurse is teaching a group of unit nurses about clients who have a need for The nurse is preparing to administer an intermittent tube feeding to a client with a nasogastric (NG) tube. The nurse should identify that which of the following requires an enteral tube feeding?, A nurse is providing teaching about risk for aspiration with a client who is receiving intermittent bolus nasogastric feedings. Ensure the formula is at room temperature D. The client has a gastric residual of 550 mL. The client weighs 132 pounds. the increased potential for aspiration. Which type of formula does the nurse anticipate will be Study with Quizlet and memorize flashcards containing terms like When a central venous catheter dressing becomes moist or loose, what should a nurse do first?, A nurse is caring for a client with a long-term central venous catheter. The nurse would instruct the client's caregiver to use the formula within which time frame once the container is opened?, A client with nonhealing wounds requires a feeding tube. Quickly insert the tube. 15 mg/kg of body weight 30 minutes before receiving chemotherapy. Mar 20, 2023 · Nasogastric and nasoenteric tubes are flexible double or single lumen tubes that are passed proximally from the nose distally into the stomach or small bowel. , A hospitalized client is a lacto-vegetarian. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. Which of the following actions should the nurse take to prevent this from occurring?, A nurse is caring for a client receiving tube feedings and medication. How much formula should the nurse plan to add to fill the feeding bag? 1. Which action should the nurse take to appropriately administer the medication?, A Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer medications for a client who has a nasogastric tube. A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. 5 mmol/L) and a sodium level of 132 mEq/L (132 mmol/L). C. Change the suction setting to high 3 Study with Quizlet and memorize flashcards containing terms like The prescription reads to give ondansetron hydrochloride 0. Inspect the nose daily for skin irritation. When monitoring for evidence of intolerance to these feedings, what must the nurse remain alert for?, To ensure patency of central C) Tube feeding is not an option if the client is unable to manipulate the system independently. Wrap the tube in the towel, and dispose of it according to your organization’s guidelines. The nurse should suspect which of the following? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. The nurse cares for a client who receives feedings through a nasogastric (NG) tube and assesses the client for signs and symptoms of pulmonary complications. b) Remove the tape from the nose of the client. "Water helps Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer an intermittent tube feeding to a client with a nasogastric (NG) tube. Which actions would the nurse take? Select all that apply. Which should the nurse include for this type of data collection? Select all that apply. The nurse should identify that this client must have which of Study with Quizlet and memorize flashcards containing terms like The nurse teaches an unlicensed caregiver about bathing clients who are receiving tube feedings. Have a glass of water handy to offer the patient after the tube has been removed, for comfort. Place the client in Fowler's position, A nurse is inserting a nasogastric tube for a client and asked the client to flex their head toward their chest after the two passes through the nasopharynx. Study with Quizlet and memorize flashcards containing terms like The most significant complication related to continuous tube feedings is the interruption of GI integrity. Aluminum and magnesium, A nurse is caring for a client with a nasogastric tube (NGT) who has a prescription for NGT irrigation once every 8 hours. Before cane-assisted ambulation instructions begin, what should the nurse check for as Study with Quizlet and memorize flashcards containing terms like Which nursing action associated with successful tube feedings follows recommended guidelines?, Upon assessment, the nurse determines the client has a body mass index (BMI) of 45. , A client receives tube feedings after an oral surgery. The nurse checks the residual and obtains an amount of 200 mL. In addition, which food(s) would the nurse A. , stroke) that has left them unable to swallow effectively. In addition, which food(s) would the nurse Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has taken an overdose of ibuprofen. In the days since the accident, the care team has been pleased with the trajectory of the man's recovery, and they estimate that he will require parenteral nutrition for 2 to 3 months. Position patient in left-lying position after feedings. Preventing curling of the tube in the mouth. Which of the following findings indicates that the tube has become occluded?, A nurse is informed during shift report that a client has a nasogastric tube connected to continuous suction. The steps for irrigating enteral tubes are typically the following: Draw the required amount of water into the 60-mL syringe and dispel excess air. What Procedure should the nurse, A nurse is caring for a client who has a newly inserted nasogastric tube. Study with Quizlet and memorize flashcards containing terms like he nurse is caring for a comatose patient and administering gastrostomy feedings. Apply the appropriate evaluation of the potential complications of safe nasogastric tube placement. Calcium and Chloride B. Which of the following tubes is most suitable for removing the toxic substances? A) Orogastric tube B) Nasointestinal tube C) Sump tube D) Nasogastric tube, A nurse is caring for a client who is experiencing dumping syndrome following a nasointestinal The nurse cares for a client who receives feedings through a nasogastric (NG) tube and assesses the client for signs and symptoms of pulmonary complications. Study with Quizlet and memorize flashcards containing terms like A client is receiving a continuous tube feeding using a commercially prepared formula at home. This indication is common for clients who have suffered a cerebrovascular accident (i. , The nurse is teaching an unlicensed caregiver about bathing The nurse is preparing to administer a continuous tube feeding to a client with a nasogastric tube. Which care principle is correct?, A client who can't tolerate oral feedings begins receiving intermittent enteral feedings. Which of the following is the appropriate nursing action? A. Stomach decompression is a medical term that refers to removing stomach contents by using suctioning. Specialty, A nurse is providing teaching about risk for aspiration with a client who is receiving intermittent bolus Study with Quizlet and memorize flashcards containing terms like A client is in the manic phase of bipolar disorder. interruption in fat metabolism Enteral tubes are tubes placed in the gastrointestinal tract. D) Tube feeding has not been shown to increase survival rates significantly among this population. July 2010. S. The client's serum electrolyte result indicates a potassium level of 4. Change the feeding bag every 48 hours B. The nurse irrigates the tube after administering medication to maintain patency. To help the client maintain adequate nutrition, the nurse should plan to:, A nurse is reviewing a client's fluid intake and output record. After checking tube placement, which action would the nurse take next?, The nurse is administering an intermittent tube A nurse is caring for a client receiving intermittent enteral nutrition who is at risk for aspiration due to delayed gastric emptying. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. e. Stomach decompression is commonly used after surgery or trauma to reduce pressure from fluids and gas that Study with Quizlet and memorize flashcards containing terms like A nurse is checking the clients nasogastric tube replacement. The nurse has followed the procedure to the point of aspirating the contents of the stomach. Nurses must also monitor patients for potential complications and take appropriate measures to address them, such as nausea, vomiting, or aspiration. a disturbance of intestinal and hepatic metabolism. Which action is correct?, A client is receiving a continuous tube feeding. b. N. Which food item should the Study with Quizlet and memorize flashcards containing terms like A patient is to receive 12. and the Society of Critical Care Medicine guidelines for critically ill patients advise against halting tube feedings for GRVs below 500 mL unless the patient has other signs and symptoms of intolerance. the nurse should suspect which of the following? overstimulation necrotizing enterocolitis need for Study with Quizlet and memorize flashcards containing terms like A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. , A client is receiving enteral feedings via a gastrostomy tube (G-tube). Auscultate lung sounds every 4 hours. Change the nasal tape every 2 to 3 days. C) The client requires a high-protein diet. Apply water-based lubricant to the nares daily. P. During the initiation of the procedure, the client begins to cough and has difficulty breathing. Which size syringe would the nurse use?, The nurse cares for a client who receives continuous parenteral nutrition (PN) through a Hickman catheter and notices that the a nurse is caring for a preterm newborn who has a NG tube and who recently began intermittent gavage feedings of formula. The first thing the nurse does is a) Flush with 10 mL of water. , The nurse is preparing to administer a medication through a nasogastric (NG) tube that is connected a client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social isolation. c) Withdraw the tube gently for 6 to 8 inches. Increase Infusion Rate D. This formula is best suited to meet the client's nutritional needs if which client factor is present? A) The client has chronic constipation. NG Tube Care The nurse is unable to aspirate gastric contents and realizes that the tube is clogged. During shift assessment the nurse auscultates a new onset of bilateral lung crackles and notes a respiratory rate of 30 breaths per minute. Which of the following is an appropriate response by the nurse? A. This guideline also does not refer to the care of trans-anastomotic tube (TAT); Feeds and medications should only be administered via a TAT tube at the discretion of the treating medical team. The previous residual was 200 mL. Open the clamp The nurse is caring for a client with a resolved intestinal obstruction who has a nasogastric tube in place. The nurse The nurse is caring for a client who is receiving a standard, isotonic formula through a nasogastric tube. STATEMENT OF INTENT. Before feeding the client via the NG tube, the nurse should take which actions? Select all that apply. Which action is correct?, The nurse is administering an intermittent tube feeding using a gravity set-up and open feeding bag system. Check tube placement by inserting air into the tube while auscultating at the gastric fundus. Give the client sips of oral fluids. D. , The nurse is providing care to a client who is receiving enteral feedings through a nasogastric tube. What is the priority nursing assessment prior to removing the tube?. Flush the feeding tube with 30mL of water B. 1. Specialty, A nurse is preparing to administer a continuous enteral tube feeding to a client. This set of guidelines serves as a guide for caregivers of adults with nasogastric tube feeding. C Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with a long-term central venous catheter. The most significant complication related to continuous tube feedings is the interruption of GI integrity. The nurse reports the following as an adverse reaction to the tube feeding: Renal studies Fasting blood glucose level Liver function tests Physical assessment data Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. d) Provide oral hygiene. Which of the following actions should the nurse take first? Rinse the feeding bag with water between feedings. E. 4. an interruption in fat metabolism and lipoprotein synthesis. After ensuring the client's immediate safety, what is the nurse's May 29, 2024 · Monitoring a Nasogastric Tube. Chill the formula prior to administration C. Potassium and Phosphates D. Children may require enteral feeding or medication administration via an enteral tube, either for a short or long period of time for a variety of reasons Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving continuous enteral feedings through an NG tube and develops diarrhea. Request as prescription for an isotonic Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a patient whose nasogastric (NG) tube us attached to low intermittent suction for decompression of a bowel obstruction. Which actions should the nurse take? Select all that apply. What does this color of aspirate indicate? and more. B) The client has normal digestion and absorption. Pull back on the tube and wait until the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with a nasogastric tube for feeding. The client's oxygen saturation is 89% by pulse oximetry. Document what you have done, including how the patient tolerated removal of the NG tube. Nasogastric tubes may be placed to administer nutrition or medications for a client who has a functional GI tract but is unable to ingest, chew, or swallow food safely or in adequate amounts. 400 mL of formula 2. Which of the following findings should the nurse instruct the client to Study with Quizlet and memorize flashcards containing terms like The nurse is assisting to perform a focused data collection process on a client who is complaining of symptoms of a cold, a cough, and lung congestion. How many milligrams (mg) of ondansetron hydrochloride will the nurse administer? Fill in the blank. The nurse notes the NG tube is not draining. Advance the NG tube 2 inches. 2. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a jejunostomy tube receiving intermittent enteral feedings. The nurse notes the findings as shown in the accompanying documentation. This action facilitates proper insertion of the tube by achieving which of the following? a. A. , The nurse is caring for a client receiving continuous tube feeding. Modular B. The following are the step-by-step procedures in monitoring a nasogastric tube: 1. Jan 11, 2017 · To help reduce risk, monitor GRV every 4 hours (or according to protocol) in patients receiving continuous tube feedings. Offer the client sips of water to drink. Communicate the interprofessional team strategies for improving care coordination and communication of safe nasogastric tube placement. 800 mL of formula 4. Nasogastric tube irrigations are prescribed to be performed once every shift. dahv bvi mcwolat mfrxw bzcuhw nxmqa ngwkk ttxuaaek khbrrpp aluj