To determine how much of the length of a nasoenteric tube to insert, a nurse should measure the distance from the tip of the patient's nose to the earlobe and from the earlobe to - ANSWER xiphoid proc... ess, plus 20 to 30 cm more. A nurse is providing teaching to a patient who is receiving intermittent nasogastric feedings. Which of the following should the nurse instruct the patient to report immediately? - ANSWER Persistent coughing. Persistent coughing could indicate that the distal end of the NG tube has moved into the respiratory tract. The most reliable method for verifying initial placement of a small-bore feeding tube is by - ANSWER obtaining an abdominal x-ray. Which of the following formulas is appropriate to administer to a patient who has a dysfunctional gastrointestinal tract? - ANSWER Elemental formulas. Elemental formulas contain predigested nutrients, easy for a PARTIALLY functional GI tract to absorb. To prevent aspiration during the administration of an enteral tube feeding, a nurse should - ANSWER place the patient in Fowler's position. A nurse inserting a nasogastric tube asks the patient to flex her head toward her chest after the tube passes through the nasopharynx. This action facilitates proper insertion of the tube by - ANSWER closing off the glottis. Flexing the head closes off the glottis to prevent the NG tube from entering the trachea versus the GI area. A patient with a gastric ileus post-operatively requires nutritional support for approximately 2 weeks. Which of the following types of feeding tubes is appropriate for this patient? - ANSWER Nasointestinal tube. Nasointestinal tube allows POSTPYLORIC feeding, bypassing the gastric ileus(block) and directly into the intestines. An older adult patient in a long-term care facility is receiving intermittent enteral feedings in his room. His affect is flat, and the nurse suspects that he is feeling isolated. Which of the following interventions is appropriate for this patient? - ANSWER Encourage him to go to the dining room at meal times to talk with other patients. Nasogastric tube feedings are an appropriate choice for a patient who - ANSWER is postoperative following laryngectomy. Laryngectomy is the right answer and is indicated for nasogastric enteral feeding until the patient is capable of swallowing, 7-10 days later. Pancreatitis is inflammation of the pancreas, which calls for food and fluids to be withheld to allow the pancreas to rest, reducing pancreatic secretion. To prevent a common complication of continuous enteral tube feedings, a nurse should - ANSWER Limit the time the formula hangs to 4 hours. Formula hanging longer than 4 to 8 hours puts the patient at risk for bacterial contamination and the subsequen [Show More]
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