Nursing 254 - Final Exam with Complete Solutions

Small Bore Feed Tube - ANSWER-placed into stomach or small bowel; used primarily for feeding or administering meds (EX: Dohoff) Methods of confirming tube placement - ANSWER-1. x-ray *Best Method* 2. aspirate GI secretions - grassy green, off white, or tan 3. pH of aspirated fluid - acidic 1- 4 (Small intestine - 6, respiratory - 7) 4. confirm length w insertion Different types of feeds (3) - ANSWER-1. Bolus - resembles normal feeding pattern; administered 30-60 min every 3-6 hrs 2. continuous - administered over 24 hrs using kangaroo pump 3. cyclic - given at night for 8 - 16 hrs on pump; allows client to attempt to eat normal meal during day (monitor fluid status and volume) Large bore feeding tube - ANSWER-placed into stomach; main purpose of suctioning or delivering nutrients (EX: NG tubes - Levin, Salem) -used for preventing nausea, vomiting, and gastric distention following surgery or to remove stomach contents for analysis NG Tube (Salem) - ANSWER--more often used in suctioning; blue pigtail allows for air flow, should NOT pass meds through Nasointestinal tube - ANSWER-longer tube placed into smaller intestine; used in clients at risk for aspiration PEG, PEJ - ANSWER-long term nutritional support (more than 6-8 weeks); placed surgically through ABD wall into stomach of jejunum clear liquid diet - ANSWER-short term diet (24-36 hrs); after surgeries or in acute stages of infection- given to relieve thirst, prevent dehydration, minimize GI tract stimulation FOODS- water, tea, coffee, clear broths, ginger ale, strained/clear juices, gelatin, honey, hard candy, popsicles Full liquid diet - ANSWER-given to pts with GI disturbances or who can't tolerate solid foods; not long term, low in iron, protein and calories FOODS - clear liquid diet PLUS foods that turn to liquid at room temp, milk, pudding, ice cream. refined cereals, butter/cream, peanut butter, yogurt soft diet - ANSWER-ordered for clients who have difficulty chewing and or swallowing; low residue, easily chewed and digested