NU 203- Test 3 Study Guide with Complete Solutions

NU 203- Test 3 Study Guide with Complete Solutions Paper charting Principles - Answer-Start of section Appearance of paper charting should be... - Answer-- black ballpoint pen - Date and time at the beginning -Signature & title at end - legible Do's and Don'ts of paper charting - Answer-- erase or use correction fluid - DO cross out with one line - DO initial it - DO correct error - no blank lines (exception: PCC NN) - No blank spaces before your signature (draw a line) PCC charting starts with? - Answer-one minute assessment Narrative note - Answer-• Brief summary of pts progress and findings EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 2/26 Medication Administration - Answer-Done per facility policy Rounding form - Answer-What is done hourly and after pt events Nutrition in Healthcare - Answer-New section Supplements (PO) provide? - Answer-1. increase chloric intake 2. provide vitamins and minerals 3. help with nutritional deficiencies snacks not meal substitutes that help in Med. Administration.... - Answer-- boost - Carnation Instant - Ensure - MightyShakes - Med Pass protein supplements - Answer-powered or liquid that promote muscle and wound healing, curbs appetite, contraindicated for renal disease Types of protein supplements - Answer-Glucerna: low carb (diabetic pt) Beneprtein: high PRO Benefiber: high fiber Juven: aids in tissue repair/ wound healing EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 3/26 Enteral Nutrition is for? - Answer-pts who can't eat normally Indication for Enteral Nutrition - Answer-- impaired swallowing - Major nutritional deficits - Decreased LOC - facial or mouth fractures - critically ill Note: Must have working GI tract which is indicated by active bowel sounds Feeding Tubes - Answer-nasogastric NG nasoduodenal ND nasojejunal NJ Gastric vs. Enteric Tubes - Answer-Gastric: stomach - faster feedings - more aspiration risk Enteric: intestines - slower feeding - less of aspiration risk gastrostomy - Answer-opening created into the stomach; longterm feeding tubes EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 4/26 bolus feeding - Answer-- via syringe or TF pump - large amount given at intervals Continuous TF - Answer-- must use TF pump - small amount infused hourly - more common in critical care pt What to check in for Tube Feeding? - Answer-Placement - gastric pH - Radiograph/X-ray - air bolus Residual - may hold TF if it is high Flush - 30 mL of water before and after - QH4 with continuous TF Check MD orders carefully - Answer-right formula start rate vs. Goal rate Rate increases per shift EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 5/26 Free water flushes Ways to Administer Tube Feeding - Answer-Cans vs. Bottles Via Syringe (bolus feeding = at one time) Via bag - only good for 24 hours - Label with date/time/initials elemental TF formula - Answer-All are - gluten free - OK for lactose intolerance - High in protein Jevity - Answer-high in protein and fiber Promote - Answer-very high PRO Osmolites - Answer-high PRO and Calorie,