NURS 3270 Fundamentals -- Evolve Module 1 – 18
Questions With Complete Solutions
A group of nursing students are studying together. They are
discussing the differences between parenteral and enteral
nutrition. Which statement, if made by one of the students,
indicates further instruction is needed? Correct Answer
"Parenteral nutrition is the administration of nutrients directly
into the GI tract by way of a feeding tube."
A patient had an NG feeding tube inserted 1 week ago. You
notice that the patient's nasal mucosa is inflamed, and the patient
complains of pain at the site of insertion. The other naris appears
patent with intact skin. What is the best action to take at this
time? Correct Answer Call the health care provider; get an
order to remove the feeding tube and insert a new feeding tube
in the opposite naris.
A patient is receiving a continuous enteral feeding by infusion
pump. The nurse enters the patient's room to verify tube
placement and measure residual. The nurse notices the patient's
respirations are shallow and rapid and that the patient's color is
ashen. The nurse notes rhonchi upon auscultation, and the
patient appears to be coughing up sputum of a color similar to
the formula feeding. What action(s) should the nurse take?
(Select all that apply.) Correct Answer Turn off the tube
feeding.
Position the patient in Fowler's position and suction the patient.
Notify the health care provider.
Prepare for chest x-ray examination.
,A patient with lung cancer has a feeding tube to help meet
nutritional needs because of difficulty swallowing since
radiation treatments. The patient requests some pain medication.
The patient has an order for morphine, 5 mg IV push, every 2
hours as needed, or MS Contin (extended-release morphine
tablet) PO 30 mg every 8 hours as needed. The nurse returns
with the injectable form to be administered IV. The patient
seems upset by this, stating, "I take a morphine pill for pain;
why are you bringing me a shot?" What is the nurse's best
response? Correct Answer This is the same medication only
in a form that I can administer through your IV line. The pill
form you took at home should never be crushed, so I am unable
to administer it through your feeding tube."
Enteral feedings may be administered by: (Select all that apply.)
Correct Answer Continuous feeding pump
Intermittent gravity drip
Large-bore syringe (bolus)
For intestinal placement of a feeding tube, in what position
should the nurse place the patient while waiting for radiological
confirmation of correct placement? Correct Answer On the
patient's right side
For safe administration of oral medications through a feeding
tube, specific attention must be paid to: (Select all that apply.)
Correct Answer Proper placement of the tube
Whether the medication can be crushed for administration
through the tube
,Identify signs and symptoms of accidental respiratory migration
of a feeding tube Correct Answer Coughing
Choking
Decreased pulse oximetry
Identify the appropriate times to verify enteral tube placement
by pH testing. (Select all that apply.) Correct Answer Before
each intermittent feeding
At least once every 6 hours during continuous feedings
Before administration of medications through the tube
If the nurse suspects the NG feeding tube has migrated, the
nurse should: Correct Answer Stop any enteral feedings and
obtain an order for a chest x-ray to determine placement.
Instructions: Match the pH test result to the likely source.
1. Patient with continuous tube feeding
2. Stomach of fasting patient
3. Pleural fluid from tracheobronchial tree
4. Intestine of fasting patient Correct Answer 1. 5 or higher
2. 1 to 5
3. 5 or higher
4. Greater than 6
Match the correct image of the type of feeding tube to the
patient situation
1. jejunostomy tube -
2. gastrostomy tube -
3. Nasogastric tube - Correct Answer 1. High risk of
aspiration because of a neuromuscular disorder
, 2. Long-term therapy because of cerebral vascular accident and
impaired swallowing
3. Short-term management of an acute illness (e.g., sepsis)
Match the medication form with the method of preparation for
administration through a feeding tube.
1. Gelatin capsule
2. Capsule
3. Pill Correct Answer 1. Aspirate with a syringe, or dissolve
in warm water over several minutes. After capsule dissolves,
remove its gelatin outer layer.
2. Open and dissolve the powder in 15 to 30 mL warm water.
3. Crush and then dissolve the powder in 15 to 30 mL warm
water.
Match the rationale to the step performed during insertion of an
NG feeding tube.
1. Inject 10 mL of water from 30-mL or larger syringe into the
feeding tube
2. Dip tube with surface lubricant into a glass of water
3. Measure distance from tip of nose to earlobe to xyphoid
process of sternum and mark tube with tape or indelible ink
4. Have patient flex head toward chest after tube has passed
through nasopharynx
5. Have patient mouth breathe and swallow. Give small sips of
water or ice chips when possible. Advance tube as patient
swallows. Rotate tube 180 degrees while inserting Correct
Answer 1. Ensures tube patency and aids in guide wire or stylet
insertion.
2. Activates lubricant to facilitate passage of tube into GI tract.
3. Determines approximate depth of insertion.
Questions With Complete Solutions
A group of nursing students are studying together. They are
discussing the differences between parenteral and enteral
nutrition. Which statement, if made by one of the students,
indicates further instruction is needed? Correct Answer
"Parenteral nutrition is the administration of nutrients directly
into the GI tract by way of a feeding tube."
A patient had an NG feeding tube inserted 1 week ago. You
notice that the patient's nasal mucosa is inflamed, and the patient
complains of pain at the site of insertion. The other naris appears
patent with intact skin. What is the best action to take at this
time? Correct Answer Call the health care provider; get an
order to remove the feeding tube and insert a new feeding tube
in the opposite naris.
A patient is receiving a continuous enteral feeding by infusion
pump. The nurse enters the patient's room to verify tube
placement and measure residual. The nurse notices the patient's
respirations are shallow and rapid and that the patient's color is
ashen. The nurse notes rhonchi upon auscultation, and the
patient appears to be coughing up sputum of a color similar to
the formula feeding. What action(s) should the nurse take?
(Select all that apply.) Correct Answer Turn off the tube
feeding.
Position the patient in Fowler's position and suction the patient.
Notify the health care provider.
Prepare for chest x-ray examination.
,A patient with lung cancer has a feeding tube to help meet
nutritional needs because of difficulty swallowing since
radiation treatments. The patient requests some pain medication.
The patient has an order for morphine, 5 mg IV push, every 2
hours as needed, or MS Contin (extended-release morphine
tablet) PO 30 mg every 8 hours as needed. The nurse returns
with the injectable form to be administered IV. The patient
seems upset by this, stating, "I take a morphine pill for pain;
why are you bringing me a shot?" What is the nurse's best
response? Correct Answer This is the same medication only
in a form that I can administer through your IV line. The pill
form you took at home should never be crushed, so I am unable
to administer it through your feeding tube."
Enteral feedings may be administered by: (Select all that apply.)
Correct Answer Continuous feeding pump
Intermittent gravity drip
Large-bore syringe (bolus)
For intestinal placement of a feeding tube, in what position
should the nurse place the patient while waiting for radiological
confirmation of correct placement? Correct Answer On the
patient's right side
For safe administration of oral medications through a feeding
tube, specific attention must be paid to: (Select all that apply.)
Correct Answer Proper placement of the tube
Whether the medication can be crushed for administration
through the tube
,Identify signs and symptoms of accidental respiratory migration
of a feeding tube Correct Answer Coughing
Choking
Decreased pulse oximetry
Identify the appropriate times to verify enteral tube placement
by pH testing. (Select all that apply.) Correct Answer Before
each intermittent feeding
At least once every 6 hours during continuous feedings
Before administration of medications through the tube
If the nurse suspects the NG feeding tube has migrated, the
nurse should: Correct Answer Stop any enteral feedings and
obtain an order for a chest x-ray to determine placement.
Instructions: Match the pH test result to the likely source.
1. Patient with continuous tube feeding
2. Stomach of fasting patient
3. Pleural fluid from tracheobronchial tree
4. Intestine of fasting patient Correct Answer 1. 5 or higher
2. 1 to 5
3. 5 or higher
4. Greater than 6
Match the correct image of the type of feeding tube to the
patient situation
1. jejunostomy tube -
2. gastrostomy tube -
3. Nasogastric tube - Correct Answer 1. High risk of
aspiration because of a neuromuscular disorder
, 2. Long-term therapy because of cerebral vascular accident and
impaired swallowing
3. Short-term management of an acute illness (e.g., sepsis)
Match the medication form with the method of preparation for
administration through a feeding tube.
1. Gelatin capsule
2. Capsule
3. Pill Correct Answer 1. Aspirate with a syringe, or dissolve
in warm water over several minutes. After capsule dissolves,
remove its gelatin outer layer.
2. Open and dissolve the powder in 15 to 30 mL warm water.
3. Crush and then dissolve the powder in 15 to 30 mL warm
water.
Match the rationale to the step performed during insertion of an
NG feeding tube.
1. Inject 10 mL of water from 30-mL or larger syringe into the
feeding tube
2. Dip tube with surface lubricant into a glass of water
3. Measure distance from tip of nose to earlobe to xyphoid
process of sternum and mark tube with tape or indelible ink
4. Have patient flex head toward chest after tube has passed
through nasopharynx
5. Have patient mouth breathe and swallow. Give small sips of
water or ice chips when possible. Advance tube as patient
swallows. Rotate tube 180 degrees while inserting Correct
Answer 1. Ensures tube patency and aids in guide wire or stylet
insertion.
2. Activates lubricant to facilitate passage of tube into GI tract.
3. Determines approximate depth of insertion.
