Final Exam Review NUR 165 ECPI
Questions With Complete Solutions
Percutaneous |endoscopic |gastrostomy |(PEG |Tube) |is |placed |in |the
Stomach
Jejunostomy |tube |or |J-tube |is |placed |in |the
Jejunum
Feeding |tubes |are |required |for?
Patients |requiring |long-term |feedings |that |have |surgical |endoscopic |placement |of |a |
percutaneous |feeding |tube
Unabsorbed |gastric |feedings |can |cause |what?
Aspiration
What |are |the |nursing |responsibilities |for |a |J |tube?
Access |the |placement, |perform |assessment |of |skin |integrity, |access |for |gastric |residual.
What |are |some |factors |which |may |impeded |the |advancement |of |a |diet?
Nausea, |complains |of |indigestion, |smoking, |hypoactive |bowel |sounds
Before |administering |a |tube |feeding |you |must?
Check |the |residual |gastric |volume |that |remains |in |the |stomach |from |the |previous |feeding
How |do |you |check |the |residual |gastric |volume?
Aspirate |contents |through |the |tube |until |the |stomach |is |empty
-if |the |residual |amount |is |greater |than |the |syringe |can |hold, |measure |the |aspirate |volume |
using |a |graduated |container
Jejunostomy |tube |(J-tube) |or |3-tube |is |placed |where?
The |jejunum
Commercial |products |for |aspiration?
, Thickens: |Honey, |nectar |and |etc
What |are |HAIs?
Hospital |acquired |infections. |Example: |central |line-associated |bloodstream |infections, |catheter-
associated |urinary |tract |infections, |and |ventilator-associated |pneumonia
Nasogastric |tubes |are |safe |to |use |when?
For |patients |who |are |unable |to |tolerate |oral |intake. |Used |for |short |periods |of |time
When |irrigating |(flush) |a |NG |Tube, |you |are?
Checking |the |pH |of |the |stomach |contents. |It |has |to |be |between |one |and |five.
NG |Tube |irrigation |steps:
1. |Inject |20 |ml |of |air |and |listen |to |the |stomach
2. |Pull |up |(aspirate) |stomach |contents
3. |Check |pH |of |stomach |contents |(between |1 |and |5)
4. |For |irrigation, |take |20 |ml |of |solution |and |push |it |in |and |then |draw |it |back |out
What |is |the |most |common |pain |scale?
0-10
If |the |patients |pain |is |on |a |scale |of |0-5, |how |many |tylenols |should |you |give?
1
If |the |patients |pain |is |on |a |scale |of |5-10, |how |many |tylenols |should |you |give?
2
What |is |the |systolic |blood |pressure |of |someone |who |has |hypotension?
Less |than |90
What |are |the |steps |for |bed |bath?
1. |Hand |hygiene
2. |Don |gloves
3. |Verify |yourself
4. |Privacy
5. |Gather |equipment
6. |Check |water
7. |Start |from |bottom |to |top |(venous |return)
Questions With Complete Solutions
Percutaneous |endoscopic |gastrostomy |(PEG |Tube) |is |placed |in |the
Stomach
Jejunostomy |tube |or |J-tube |is |placed |in |the
Jejunum
Feeding |tubes |are |required |for?
Patients |requiring |long-term |feedings |that |have |surgical |endoscopic |placement |of |a |
percutaneous |feeding |tube
Unabsorbed |gastric |feedings |can |cause |what?
Aspiration
What |are |the |nursing |responsibilities |for |a |J |tube?
Access |the |placement, |perform |assessment |of |skin |integrity, |access |for |gastric |residual.
What |are |some |factors |which |may |impeded |the |advancement |of |a |diet?
Nausea, |complains |of |indigestion, |smoking, |hypoactive |bowel |sounds
Before |administering |a |tube |feeding |you |must?
Check |the |residual |gastric |volume |that |remains |in |the |stomach |from |the |previous |feeding
How |do |you |check |the |residual |gastric |volume?
Aspirate |contents |through |the |tube |until |the |stomach |is |empty
-if |the |residual |amount |is |greater |than |the |syringe |can |hold, |measure |the |aspirate |volume |
using |a |graduated |container
Jejunostomy |tube |(J-tube) |or |3-tube |is |placed |where?
The |jejunum
Commercial |products |for |aspiration?
, Thickens: |Honey, |nectar |and |etc
What |are |HAIs?
Hospital |acquired |infections. |Example: |central |line-associated |bloodstream |infections, |catheter-
associated |urinary |tract |infections, |and |ventilator-associated |pneumonia
Nasogastric |tubes |are |safe |to |use |when?
For |patients |who |are |unable |to |tolerate |oral |intake. |Used |for |short |periods |of |time
When |irrigating |(flush) |a |NG |Tube, |you |are?
Checking |the |pH |of |the |stomach |contents. |It |has |to |be |between |one |and |five.
NG |Tube |irrigation |steps:
1. |Inject |20 |ml |of |air |and |listen |to |the |stomach
2. |Pull |up |(aspirate) |stomach |contents
3. |Check |pH |of |stomach |contents |(between |1 |and |5)
4. |For |irrigation, |take |20 |ml |of |solution |and |push |it |in |and |then |draw |it |back |out
What |is |the |most |common |pain |scale?
0-10
If |the |patients |pain |is |on |a |scale |of |0-5, |how |many |tylenols |should |you |give?
1
If |the |patients |pain |is |on |a |scale |of |5-10, |how |many |tylenols |should |you |give?
2
What |is |the |systolic |blood |pressure |of |someone |who |has |hypotension?
Less |than |90
What |are |the |steps |for |bed |bath?
1. |Hand |hygiene
2. |Don |gloves
3. |Verify |yourself
4. |Privacy
5. |Gather |equipment
6. |Check |water
7. |Start |from |bottom |to |top |(venous |return)
