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Get faster at matching terms Terms in this set (41)What test should be performed to confirm the correct placement of a nasogastric (NG) feeding tube before the start of feedings? An x-ray study An x-ray study The nurse has inserted a nasogastric tube into a patient. However, when the first feeding is administered, the patient has pulmonary aspiration. Which action would have prevented this complication? Starting the enteral feeding at a slow rate Verifying the placement of the tube through x-ray What is the most important nursing intervention that the nurse should provide to a patient who is diagnosed with ineffective coping related to improper nutrition? Teaching the patient about dietary guidelines Using an active listening approach when talking with the patient A patient is on enteral feedings through a nasogastric tube. Which factors increase the risk of aspiration in the patient? Select all that apply. Coughing Coughing What does the nurse do when evaluating a patient who has been treated for malnutrition? Select all that apply. Determines the patient's nutritional energy needs. Determines the patients satisfaction with nutritional practices What is the body mass index (BMI) of a patient who is 90 kg (198.5lb) in weight and 2.0m (6.57 ft) tall? Record your answer up to one decimal place. ____ 22.5 BMI equation weight (kg) / height (m2) A nurse must administer enteral feeding via nasoenteric tube to a patient. In what order should the nurse perform the procedure? -Identify the patient using two identifiers according to agency policy. Obtain baseline weight and laboratory values to assess the nutritional status of the patient Following cardiac surgery, a patient is kept on nothing by mouth for 3 days. What should be the sequence of diet progression in this patient? Full liquid Clear liquid The nurse is collecting a sample of gastric contents to determine the pH for a patient who is on enteral feeding through a nasogastric tube. Arrange the actions performed by the nurse in the correct order. -Flush the feeding tube using a syringe with 30 mL of air. Wash hand thoroughly and put on
gloves The nurse is caring for a patient experiencing dysphagia. Which interventions help decrease the risk of aspiration during feeding? Select all that apply. Sit the
patient upright in a chair. Sit the patient upright in a chair The nurse is caring for a patient who is on parenteral nutrition (PN). The nurse finds that the PN admixture has an oily layer on the surface. What is the most appropriate nursing action in this situation? Shake the container well and administer the admixture. Discard the admixture and administer another admixture The nurse is caring for a patient diagnosed with hemorrhoids. While taking the patient's clinical history and vitals, the nurse finds that the patient has chronic constipation. What should the nurse teach the patient about the diet? Select all that apply. Food rich in fiber relieves constipation. Foods rich in fiber relieves constipation The nurse weighs a patient with renal failure and finds the body weight to be 112 pounds. The patient's weight on the previous day was 110 pounds. What should the nurse interpret from the finding? The
patient has retained a liter of fluids. The patient has retained a liter of fluids A patient is 5 feet, 10 inches tall, and has a weight of 70 kg. What would be the body mass index (BMI) of the patient? Do your calculations and record your answer using two decimal places. __________ kg 22.09 Which food items contain gluten and should be avoided in patients with celiac disease? Select all that apply. Wheat Wheat Following cardiac surgery, a patient is on a diet to reduce cholesterol. What is the recommended cholesterol intake in this diet? Record your answer using a whole number. __________ mg/day 300 The nurse sees the nursing assistive person (NAP) perform the following for a patient receiving continuous enteral feedings. What intervention does the nurse need to address immediately with the NAP? The NAP fastens the tube to the gown with tape. The NAP places the patient supine while giving a bath The nurse documents the following complaints following an initial assessment. Which would be a priority for meeting the patient's needs? Pain related to oral ulcers Pain related to oral ulcers A 70-year-old hypertensive patient came to the clinic for a regular checkup. On assessment, the nurse finds that the patient has experienced a weight loss of 5 pounds and has a poor nutritional status. Which physical signs are indicative of poor nutritional status? Select all that apply. Dry scaly lips Dry scaly lips In what order does the nurse implement the following steps while administering enteral feedings via nasoenteric tube? -Flushing the tubing with 30 mL water Placing the patient in high-Fowlers position What does the nurse do during the planning phase for a patient diagnosed with malnutrition? Determines the
patient's satisfaction with the nutritional therapy Select nursing interventions consistent with the therapeutic diet The nurse is caring for a patient with dysphagia. Of what complications of dysphagia should the nurse be aware? Select all that apply. Aspiration pneumonia Aspiration pneumonia A postoperative patient is advised to take clear fluids. What types of fluids should the nurse provide to the patient? Select all that apply. Tea Tea A 70-year-old patient is admitted to the hospital post stroke. The patient suffers from right-sided hemiplegia and dysphagia. Which complication of dysphagia might the nurse observe in the patient? Aspiration pneumonia
Aspiration Pneumonia The nurse is helping a patient with vision impairment to feed himself. What nursing actions would help the patient maintain independence during feeding? Select all that apply. Allow the patient to eat independently without any instructions. Tell the patient where the beverages are located in relation to the plate What are the indications for enteral nutrition? Select all that apply. Severe pancreatitis Difficulty chewing The nurse is feeding a patient with dysphagia. Which action performed by the nurse during feeding may lead to aspiration? The nurse raises the head of the bed to 90
degrees. The nurse places the patients head to a chin-up position The nurse is caring for a patient who is on tube feeding. What signs and symptoms suggest intolerance to feedings? Select all that apply. High gastric
residual High gastric residual The catheter of the patient receiving parenteral nutrition (PN) becomes occluded. Place the steps for caring for the occluded catheter in the order in which the nurse would perform them. Attempt to aspirate a clot. Temporarily stop the infusion Which enzyme do the chief cells of the stomach secrete? Secretin Pepsinogen Which factor contributes to peptic ulcer formation? Spicy foods Helicobacter pylori infection A 70-year-old patient came to the clinic for a regular checkup. The patient lives alone. On assessment, the nurse finds that the patient has experienced a weight loss of 5 pounds and has a poor nutritional status. The nurse decides to assess the food preferences and dietary intake of this patient. Which questions should the nurse ask the patient? Select all that apply. "How do you prepare your food?" How do you prepare your food The nurse is caring for a patient who is on antifungal medication. The patient complains of nausea and loss of appetite. What interventions should the nurse perform to promote appetite in the patient? Select all that apply. Maintain an odor-free environment. Maintain an odor-free enviornment A patient is diagnosed with myasthenia gravis. The patient has difficulty swallowing due to this condition. For what complications of dysphagia should the nurse be observant? Select all that apply. Aspiration pneumonia Aspiration pneumonia The nurse suspects that the patient receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What action does the nurse need to take first? Raise the head of the bed to 90 degrees. Turn the patient to the left lateral decubitus position Which enteral formula type consists of milk-based, blended foods and can be prepared by hospital dietary staff or in a patient's home? Polymeric formula Polymeric formula The nurse has a new order to monitor blood glucose on a patient, so the nurse provides information about the procedure and purpose to the patient before taking the first measurement. Which phase of the nursing process is represented? Planning Planning What is the maximum hang time for enteral feeding in an open system? Record your answer using whole number. _____ hours 8 Which action is initially taken by the nurse to verify the correct position of a recently placed small-bore feeding tube? Refer to the doctor to order for x-ray film examination to check position Refer to the doctor to order for x-ray film examination to check position The nurse is inserting a central catheter into a patient to provide parenteral nutrition (PN). The nurse places the patient in a left lateral decubitus position, and instructs the patient to hold her breath and bear down during catheter insertion. What is the most probable reason the nurse put the patient in that position and asked her to hold her breath and bear down? It helps to prevent air embolism. It helps to prevent air embolism Sets with similar termsFoundations Chapter 45 Nutrition90 terms jamiemariea Foundations Chapter 45 Nutrition90 terms andreakayef Potter Chapter 45 Nutrition Adaptive Quizzing37 terms ann2075876 Sets found in the same folderChapter 45 Nutrition31 terms allybailey217 Adaptive Quizzing Chapter 45 Nutrition43 terms timbrook7609 Chapter 45 Fundamentals35 terms brooke_fries Chapter 44 Nutrition Questions26 terms candacelea08 Other sets by this creatorNCLEX prep acid base balance6 terms timbrook7609 NCLEX prep lab values41 terms timbrook7609 HESI MEDS299 terms timbrook7609 Developmental Milestones46 terms timbrook7609 Other Quizlet setsGatrointestinal Disorders25 terms lombo317 CNA CH247 terms maxmac04PLUS Circuit control devices34 terms blake_ayers34 Related questionsQUESTION When educating clients about the importance of planning before going grocery shopping, what are some strategies that could help them minimize common pitfalls while at the grocery store? Check all that apply 3 answers QUESTION What amino acid has been linked to the development of the rare blood disorder eosinophilia-myalgia syndrome in people who took it as a supplement? 15 answers QUESTION What does phosphorous deficiency lead to? 7 answers QUESTION T/F: Tooth loss may reduce nutrient absorption because poorly chewed food may not be completely digested. 6 answers What test should be performed to confirm the correct placement of a nasogastric NG feeding tube before the start of the feeding?Correct placement of the tube should be confirmed prior to administration of an enteral feed by checking insertion site at the abdominal wall and observing the child for abdominal pain or discomfort.
Which method is best when confirming initial placement of an NG feeding tube?Confirming NG tube position using a chest X-ray. If pH testing of NG aspirate is not possible, a chest X-ray can be used to confirm the safe placement of an NG tube. Limitations of using a chest X-ray to confirm safe NG tube placement include: Risk of misinterpretation.
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Which test should be performed to confirm the correct placement of a nasogastric feeding tube?
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