CNSC exam review Module IIIB questions with correct answers

Which of the following is true regarding complications associated with enteral feedings? a. bacterial contamination may originate from the patient's throat, lung, and stomach b. length of enteral product hang time is not correlated with bacterial contamination c. open systems typically have less exogenous bacterial contamination d. bacterial counts at the end of the enteral tube site should be cultured routinely CORRECT ANSWER a. bacterial contamination may originate from the patient's throat, lung, and stomach Mrs. Jones suffered from a stroke two weeks ago and has significant dysphagia. A PEG was placed and an isotonic enteral formula has been infusing continuously at goal rate for two days. The tube is being flushed with 30 mL free water three times daily. Mrs. Jones begins to complain of bloating and is mildly distended (to 4 cm from baseline) upon examination. Which of the following interventions would be the best initial strategy to reduce her unpleasant symptoms? a. determine when last bowel movement occurred and consider a cathartic if constipation is evident b. hold the tube feedings and initiate a pain reliever c. switch to a higher fiber formula d. use a more concentrated formula administered through bolus feedings CORRECT ANSWER a. determine when last bowel movement occurred and consider a cathartic if constipation is evident Your patient has been discharged home to hospice with end-stage ALS. He is receiving enteral feedings and complains of nausea. A decision is made to discontinue enteral feeding.