NSG 320: Exam 3
what should the nurse do if the TPN bag is almost empty, but the next bag is not
ready.. - CORRECT ANSWER-Hang 10% dextrose water (to help avoid
hypoglycemia)
nursing care for TPN - CORRECT ANSWER--daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia - CORRECT ANSWER-Polydipsia, polyuria, polyphagia,
nausea, HA, abdominal pain
enteral feeding - CORRECT ANSWER-Nutrients supplied to the gastrointestinal
tract orally or by feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding - CORRECT ANSWER--tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome - CORRECT ANSWER-happens within 24-48 hours of
starting enteral or parenteral nutrition; giving too much nutrition in a short
amount of time
Refeeding Syndrome S/S - CORRECT ANSWER-24-48hrs of therapy d/t fluid
shifts: bradypnea, lethargy, confusion, weakness
how to avoid refeeding syndrome - CORRECT ANSWER-give GRADUALLY
increase calories SLOWLY
gastritis - CORRECT ANSWER-inflammation/irritation of the lining of the stomach
GERD - CORRECT ANSWER-esophageal irritation by stomach acid that travels
into the esophagus
if GERD is not treated what can it lead to... - CORRECT ANSWER-barretts
esophagus
Peptic Ulcer Disease - CORRECT ANSWER-open sores/ulcers in the lining of
stomach or small intestine
, gastric vs duodenal ulcers - CORRECT ANSWER-Gastric = ulcer in the stomach;
Duodenal = ulcer in the small intestine
S/S of GERD - CORRECT ANSWER--dyspepsia "heartburn"
diet considerationf for GERD and PUD - CORRECT ANSWER--avoid eating fried
and fatty foods, citrus, dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD - CORRECT ANSWER--no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
common treatment for GERD - CORRECT ANSWER--antacids
-H2 blockers
-PPIs
antacid administration teaching - CORRECT ANSWER-always take 1 hour before
or after other medications, NEVER TOGETHER
when should H2 blockers and PPIs be taken? - CORRECT ANSWER-take 30
minutes before meals
total perenteral nutrition (TPN) - CORRECT ANSWER-entire nutrition is inside an
IV bag and goes right into the blood
what line is TPN given through - CORRECT ANSWER-given CENTRAL LINE! not
peripheral IV
when are is central line feeding usually given - CORRECT ANSWER-to a client
who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped? - CORRECT ANSWER-start and
stop SLOW and GRADUALLY
patients receiving TPN are at high risk for - CORRECT ANSWER-hyper or
hypoglycemia
how often should TPN tubing be changed? - CORRECT ANSWER-every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next bag is not
ready.. - CORRECT ANSWER-Hang 10% dextrose water (to help avoid
hypoglycemia)
nursing care for TPN - CORRECT ANSWER--daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia - CORRECT ANSWER-Polydipsia, polyuria, polyphagia,
nausea, HA, abdominal pain
enteral feeding - CORRECT ANSWER-Nutrients supplied to the gastrointestinal
tract orally or by feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding - CORRECT ANSWER--tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome - CORRECT ANSWER-happens within 24-48 hours of
starting enteral or parenteral nutrition; giving too much nutrition in a short
amount of time
Refeeding Syndrome S/S - CORRECT ANSWER-24-48hrs of therapy d/t fluid
shifts: bradypnea, lethargy, confusion, weakness
how to avoid refeeding syndrome - CORRECT ANSWER-give GRADUALLY
increase calories SLOWLY
gastritis - CORRECT ANSWER-inflammation/irritation of the lining of the stomach
GERD - CORRECT ANSWER-esophageal irritation by stomach acid that travels
into the esophagus
if GERD is not treated what can it lead to... - CORRECT ANSWER-barretts
esophagus
Peptic Ulcer Disease - CORRECT ANSWER-open sores/ulcers in the lining of
stomach or small intestine
, gastric vs duodenal ulcers - CORRECT ANSWER-Gastric = ulcer in the stomach;
Duodenal = ulcer in the small intestine
S/S of GERD - CORRECT ANSWER--dyspepsia "heartburn"
diet considerationf for GERD and PUD - CORRECT ANSWER--avoid eating fried
and fatty foods, citrus, dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD - CORRECT ANSWER--no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
common treatment for GERD - CORRECT ANSWER--antacids
-H2 blockers
-PPIs
antacid administration teaching - CORRECT ANSWER-always take 1 hour before
or after other medications, NEVER TOGETHER
when should H2 blockers and PPIs be taken? - CORRECT ANSWER-take 30
minutes before meals
total perenteral nutrition (TPN) - CORRECT ANSWER-entire nutrition is inside an
IV bag and goes right into the blood
what line is TPN given through - CORRECT ANSWER-given CENTRAL LINE! not
peripheral IV
when are is central line feeding usually given - CORRECT ANSWER-to a client
who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped? - CORRECT ANSWER-start and
stop SLOW and GRADUALLY
patients receiving TPN are at high risk for - CORRECT ANSWER-hyper or
hypoglycemia
how often should TPN tubing be changed? - CORRECT ANSWER-every 24 hours
