NSG 320: EXAM 3 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW
total perenteral nutrition (TPN) Ans✓✓✓entire nutrition is inside an IV
bag and goes right into the blood
what line is TPN given through Ans✓✓✓given CENTRAL LINE! not
peripheral IV
when are is central line feeding usually given Ans✓✓✓to a client who is
NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped? Ans✓✓✓start and stop
SLOW and GRADUALLY
patients receiving TPN are at high risk for Ans✓✓✓hyper or
hypoglycemia
how often should TPN tubing be changed? Ans✓✓✓every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next
bag is not ready.. Ans✓✓✓Hang 10% dextrose water (to help avoid
hypoglycemia)
nursing care for TPN Ans✓✓✓-daily weights
,-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia Ans✓✓✓Polydipsia, polyuria, polyphagia,
nausea, HA, abdominal pain
enteral feeding Ans✓✓✓Nutrients supplied to the gastrointestinal tract
orally or by feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding Ans✓✓✓-tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome Ans✓✓✓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 Ans✓✓✓24-48hrs of therapy d/t fluid shifts:
bradypnea, lethargy, confusion, weakness
how to avoid refeeding syndrome Ans✓✓✓give GRADUALLY
increase calories SLOWLY
, gastritis Ans✓✓✓inflammation/irritation of the lining of the stomach
GERD Ans✓✓✓esophageal irritation by stomach acid that travels into
the esophagus
if GERD is not treated what can it lead to... Ans✓✓✓barretts esophagus
Peptic Ulcer Disease Ans✓✓✓open sores/ulcers in the lining of stomach
or small intestine
gastric vs duodenal ulcers Ans✓✓✓Gastric = ulcer in the stomach;
Duodenal = ulcer in the small intestine
S/S of GERD Ans✓✓✓-dyspepsia "heartburn"
diet considerationf for GERD and PUD Ans✓✓✓-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 Ans✓✓✓-no cigarettes and alcohol
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW
total perenteral nutrition (TPN) Ans✓✓✓entire nutrition is inside an IV
bag and goes right into the blood
what line is TPN given through Ans✓✓✓given CENTRAL LINE! not
peripheral IV
when are is central line feeding usually given Ans✓✓✓to a client who is
NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped? Ans✓✓✓start and stop
SLOW and GRADUALLY
patients receiving TPN are at high risk for Ans✓✓✓hyper or
hypoglycemia
how often should TPN tubing be changed? Ans✓✓✓every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next
bag is not ready.. Ans✓✓✓Hang 10% dextrose water (to help avoid
hypoglycemia)
nursing care for TPN Ans✓✓✓-daily weights
,-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia Ans✓✓✓Polydipsia, polyuria, polyphagia,
nausea, HA, abdominal pain
enteral feeding Ans✓✓✓Nutrients supplied to the gastrointestinal tract
orally or by feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding Ans✓✓✓-tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome Ans✓✓✓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 Ans✓✓✓24-48hrs of therapy d/t fluid shifts:
bradypnea, lethargy, confusion, weakness
how to avoid refeeding syndrome Ans✓✓✓give GRADUALLY
increase calories SLOWLY
, gastritis Ans✓✓✓inflammation/irritation of the lining of the stomach
GERD Ans✓✓✓esophageal irritation by stomach acid that travels into
the esophagus
if GERD is not treated what can it lead to... Ans✓✓✓barretts esophagus
Peptic Ulcer Disease Ans✓✓✓open sores/ulcers in the lining of stomach
or small intestine
gastric vs duodenal ulcers Ans✓✓✓Gastric = ulcer in the stomach;
Duodenal = ulcer in the small intestine
S/S of GERD Ans✓✓✓-dyspepsia "heartburn"
diet considerationf for GERD and PUD Ans✓✓✓-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 Ans✓✓✓-no cigarettes and alcohol
