NUR 1172 GI Intubation and Special Nutrition Modalities Exam Questions with 100% Correct Answers

GI Intubation Correct Answer Insertion of a flexible tube into the stomach, beyond the pylorus into the duodenum or jejunum. Inserted by: orally, nasally, and thru the abdominal wall. Purpose of the GI Intubation Correct Answer Decompression of stomach by removing gas and fluid, lavage stomach by remove ingested toxins. Diagnosis of GI motility disorders, administer meds and feedings, treat obstructions, and aspirate gastric contents for analysis. Different Tube Types Correct Answer Orogastric tubes and NG tubes are used for nasoenteric feeding tubes (dobhoff or enteraflo) and gastrostomy and jejunostomy. Nursing Management of NG Tube Placement Correct Answer Explain the purpose of the tube the procedure for insertion. Insertion of NG tube length by nose to earlobe to xiphoid process, and 6-10cm beyond that length. Describe the sensations to be expected during tube insertion. Nursing Management is to Confirm NG Placement Correct Answer X-Ray, Measure of External Tube Length, and Visual assessment of Aspirate. Gastric Correct Answer Cloudy and green, tan or off-white, brown, coffee grounds. Pleural fluid such as pale, yellow, clear or serous. Tracheal is tan or off-white. Air auscultation is unreliable and is no longer recommended. Nursing Management of NG Tube in General Correct Answer Monitor the pt and maintain tube function by attach to suction for decompression and keep accurate record of all fluid intake, feedings, and irrigation. Provide oral and nasal hygiene and care and monitor for complications such as fluid volume deficit, pulmonary, tube-related irritations, metabolic alkalosis. Nursing Management for NG Tube Removal Correct Answer Check for provider order, bowel sounds (if used for decompression then clamp prior to ensure pt doesn't have nausea) and flush with 10mL of air prior to removal. Enteral Feeding Correct Answer Meet nutritional requirements when oral intake is inadequate or not possible and middle and lower portion of GI tract function normally and the nutritional requirements administered through the stomach, duodenum, or proximal jejunum.