Tube feeding and total parenteral nutrition nursing considerations and complication recognition tested on NCLEX-RN.
33 cards · basic cards · AI-written, checked twice. Edit anything.
- What imaging method confirms correct initial placement of a newly inserted NG tube before first use?
- X-ray
- A gastric aspirate pH below what level suggests the feeding tube tip is in the stomach?
- pH less than 5
- Why is the auscultation (air bolus/whoosh) method alone not reliable to confirm feeding tube placement?
- The sound can seem similar even if the tube is misplaced in the lung or esophagus
- What head-of-bed elevation is recommended during enteral tube feeding?
- 30 to 45 degrees
- After an intermittent tube feeding ends, how long should the head of bed stay elevated?
- At least 30 to 60 minutes
- Why does a nurse check gastric residual volume before an intermittent tube feeding?
- To assess for delayed gastric emptying and aspiration risk
- What should the nurse do if gastric residual volume exceeds the facility's threshold before feeding?
- Hold the feeding and notify the provider
- What is an early sign of aspiration during tube feeding?
- Coughing or choking
- Why should a feeding tube be flushed with water before and after feedings or medications?
- To keep the tube patent and prevent clogging
- Why should liquid medications be diluted before giving them through a feeding tube?
- To prevent tube clogging and reduce risk of osmotic diarrhea
- What is the main difference between an NG tube and a PEG tube?
- NG tube is for short-term feeding; PEG tube is for long-term feeding
- What is dumping syndrome?
- Rapid emptying of hyperosmolar formula from the stomach into the small intestine
- What are classic symptoms of dumping syndrome?
- Cramping, nausea, diarrhea, tachycardia, and diaphoresis after feeding
- What nursing intervention helps prevent dumping syndrome?
- Slow the feeding rate or switch to continuous feeding
- What is a common preventable cause of diarrhea in a tube-fed patient?
- Bacterial contamination of the formula or feeding equipment