Home Nutrition Support questions with correct answers

When preparing a patient for home enteral nutrition therapy, initial written discharge information should include all of the following EXCEPT: 1: Type and location of feeding tube. 2: Name of formula and daily volume. 3: Volume, frequency of administration, times for tube flushes. 4: Daily protein content of the formula. CORRECT ANSWER 4 Detailed information and recommendations provided to home care agencies allow for continuation of patient education in the home, set monitoring and troubleshooting parameters, and expedite the claim process. The daily protein content of the formula, although useful, is not required. At a minimum, the following information should be provided: site, brand and external length of feeding tube, formula type and concentration, total daily formula volume, method and rate of administration, feeding frequency schedule (times), volume and times of tube flushes, dose and time of medications, and guidelines for oral intake. A long-term home enteral patient suddenly develops nausea and vomiting. Possible causes include all of the following EXCEPT: 1: Gastric outlet obstruction. 2: Decrease in feeding rate or volume. 3: Rapid administration of bolus feeds. 4: Gastroparesis. CORRECT ANSWER 2 Causes of nausea and vomiting in the enterally fed patient may include: too rapid a rate of bolus infusion, gastric outlet obstruction caused by feeding tube migration, excessive feeding volume, and gastroparesis. Gastric irritation or atony, distal obstruction, anxiety, other diseases, and medication may also cause these symptoms. Nausea and/or vomiting may be prevented or resolved by decreasing the rate or volume of enteral infusion.